Individual provider · Type 1 NPI

Susan Fasulo

Clinical Social Worker · Augusta, ME

NPI number 1962819201 Active

Practice location

250 Arsenal St, State House Station 11
Augusta, ME 04330-5742

Call (207) 215-9079 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC14158 (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 1962819201

Susan Fasulo's National Provider Identifier is 1962819201, issued on Jul 18, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, ME. The record was last updated on Sep 4, 2014.