Individual provider · Type 1 NPI

Amber Fannin, LISW

Clinical Social Worker · Elyria, OH

NPI number 1821584913 Active

Practice location

2100 N Ridge Rd
Elyria, OH 44035-1241

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2608875 (OH)

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 1821584913

Amber Fannin, LISW's National Provider Identifier is 1821584913, issued on Jul 2, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elyria, OH. The record was last updated on Oct 29, 2026.