Individual provider · Type 1 NPI
W. Gordon Fediaczko, L.I.S.W.
Clinical Social Worker · Salem, OH
Practice location
12680 Salem Warren Rd
Salem, OH 44460-9668
Fax (330) 337-3099
Mailing address
815 E 5th St
Salem, OH 44460-1742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I-0002866 (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…
2 other providers at this address
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About NPI 1831100379
W. Gordon Fediaczko, L.I.S.W.'s National Provider Identifier is 1831100379, issued on Aug 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OH. The record was last updated on Jul 8, 2007.