Individual provider · Type 1 NPI

Kimberly D. Farouki, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1689940942 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006395A (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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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.