Organization · Type 2 NPI

Fairbanks Psychotherapy LLC

Clinical Social Worker · Chester, NJ

NPI number 1821937749 Active

Practice location

443 Fox Chase Rd
Chester, NJ 07930-3122

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1821937749

Fairbanks Psychotherapy LLC's National Provider Identifier is 1821937749, issued on Mar 26, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chester, NJ. The record was last updated on Apr 29, 2026.