Individual provider · Type 1 NPI

Christina Fay, LCSW, LADC, CCS

Clinical Social Worker · Portland, ME

NPI number 1861704488 Active

Practice location

68 Bishop St Ste 3
Portland, ME 04103-2681

Mailing address

140 Sand Bar Rd
Windham, ME 04062-5540

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLC4524 (ME)
Addiction (Substance Use Disorder) Counselor 101YA0400XCCS4684 (ME)
Clinical Social Worker Primary 1041C0700XLC11294 (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 1861704488

Christina Fay, LCSW, LADC, CCS's National Provider Identifier is 1861704488, issued on Jul 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Nov 14, 2023.