Individual provider · Type 1 NPI

Jason Fauble

Clinical Social Worker · Medford, OR

NPI number 1720534746 Active

Practice location

140 S Holly St
Medford, OR 97501-3113

Call (541) 774-8201 Map

Fax (541) 774-7979

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104100000X (OR)

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 1720534746

Jason Fauble's National Provider Identifier is 1720534746, issued on Aug 30, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jan 4, 2017.