Individual provider · Type 1 NPI
Kelli Star Fox, LCSW LADC CCS
Clinical Social Worker · Portland, ME
Practice location
4 Demerest St
Portland, ME 04103-4329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC4378 (ME) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC689 (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 1952369688
Kelli Star Fox, LCSW LADC CCS's National Provider Identifier is 1952369688, issued on May 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Jun 25, 2020.