Individual provider · Type 1 NPI

Brooke Fairbanks, LCSW

Clinical Social Worker · Torrington, CT

NPI number 1891521571 Active

Practice location

257 Main St Ste 205
Torrington, CT 06790-5206

Mailing address

46 High Bridge Rd
Bantam, CT 06750-1623

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X014104 (CT)

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 1891521571

Brooke Fairbanks, LCSW's National Provider Identifier is 1891521571, issued on Sep 10, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Torrington, CT. The record was last updated on Sep 10, 2024.