Individual provider · Type 1 NPI

Miranda Jeanne Fearon, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1831435502 Active

Practice location

268 Stillwater Ave
Bangor, ME 04401-3945

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC14954 (ME)

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 1831435502

Miranda Jeanne Fearon, LCSW's National Provider Identifier is 1831435502, issued on Dec 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Aug 28, 2014.