Individual provider · Type 1 NPI

Maria Teresa Fairclough, LMSW

Clinical Social Worker · Roswell, NM

NPI number 1679911259 Active

Practice location

2317 N Sherman Ave
Roswell, NM 88201-6429

Fax (575) 623-1240

Mailing address

11101 Colville Rd SE
Albuquerque, NM 87123-3708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0115481 (NM)
Clinical Social Worker Primary 1041C0700XM-08576 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679911259

Maria Teresa Fairclough, LMSW's National Provider Identifier is 1679911259, issued on Jun 5, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roswell, NM. The record was last updated on Mar 3, 2024.