Individual provider · Type 1 NPI

Dorene Fanning, LCSW

Clinical Social Worker · Davis, CA

NPI number 1831523711 Active

Practice location

2051 John Jones Rd
Davis, CA 95616-9701

Mailing address

PO Box 1260
Davis, CA 95617-1260

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS29760 (CA)

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 1831523711

Dorene Fanning, LCSW's National Provider Identifier is 1831523711, issued on Aug 27, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davis, CA. The record was last updated on Aug 27, 2013.