Individual provider · Type 1 NPI
Kimberly D. Farouki, LCSW
Clinical Social Worker · Fort Wayne, IN
Practice location
3512 Stellhorn Rd
Fort Wayne, IN 46815
Fax (260) 483-9196
Mailing address
PO Box 392552
Pittsburgh, PA 15251-9550
Other practice locations
- 5550 Sandstone Ave, Kokomo, IN 46901-8853 · (765) 459-3891
- 5550 Sandstone Ave, Kokomo, IN 46901-8853 · (765) 459-3891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34006395A (IN) |
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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Other clinical social worker providers in Fort Wayne
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- Rikki Treesh, LCSWClinical Social Worker Fort Wayne, IN NPI 1013376458
- Yvonne Smith, LCSWClinical Social Worker Fort Wayne, IN NPI 1023261955
- Deborah Louise Amick, L.C.S.W.Clinical Social Worker Fort Wayne, IN NPI 1023299526
- Scott KruseClinical Social Worker Fort Wayne, IN NPI 1023350717
- Richard Leone, LCSWClinical Social Worker Fort Wayne, IN NPI 1023487865
About NPI 1689940942
Kimberly D. Farouki, LCSW's National Provider Identifier is 1689940942, issued on Mar 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 22, 2019.