Individual provider · Type 1 NPI

Kristyn Anne Fazzalaro, L.C.S.W.

Clinical Social Worker · Tustin, CA

NPI number 1992937734 Active

Practice location

242 W Main St, Suite 105
Tustin, CA 92780-7723

Call (714) 319-5714 Map

Mailing address

7 Salt Spray Dr
Laguna Niguel, CA 92677-5652

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 22810 (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 1992937734

Kristyn Anne Fazzalaro, L.C.S.W.'s National Provider Identifier is 1992937734, issued on Aug 12, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tustin, CA. The record was last updated on Aug 12, 2009.