Individual provider · Type 1 NPI

Maria Fairbourn, LCSW

Clinical Social Worker · Shelbyville, KY

NPI number 1760048268 Active

Practice location

7012 Beamtree Dr
Shelbyville, KY 40065-6328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X252383 (KY)

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 1760048268

Maria Fairbourn, LCSW's National Provider Identifier is 1760048268, issued on May 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelbyville, KY. The record was last updated on May 10, 2019.