Individual provider · Type 1 NPI
Jennifer Fairchild, LCSW
Clinical Social Worker · Derby, CT
Practice location
183 Elizabeth St
Derby, CT 06418-1813
Fax (203) 929-2093
Mailing address
110 Soundview Ave
Shelton, CT 06484-2744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 006449 (CT) |
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 1821282880
Jennifer Fairchild, LCSW's National Provider Identifier is 1821282880, issued on Sep 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Derby, CT. The record was last updated on Sep 4, 2007.