Individual provider · Type 1 NPI

Shannon C. Fahy, MSW LCSW LICSW

Clinical Social Worker · Fuquay Varina, NC

NPI number 1801030168 Active · reactivated Sep 26, 2024

Practice location

637 Barneswyck Dr
Fuquay Varina, NC 27526-2277

Fax (919) 440-4760

Other practice locations

  • 4025 Rawlins St, Cheyenne, WY 82001-1900 · (307) 426-4798

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X696 (WY)
Clinical Social Worker 1041C0700XLW61613757 (WA)
Clinical Social Worker Primary 1041C0700XC013648 (NC)

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 1801030168

Shannon C. Fahy, MSW LCSW LICSW's National Provider Identifier is 1801030168, issued on Apr 29, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fuquay Varina, NC. The record was last updated on Sep 17, 2025.