STACY LYNN FAZIO LCSW
NPI 1104261544
Social Worker - Clinical in Clovis, CA
About Stacy Lynn Fazio Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY LYNN FAZIO LCSW (NPI 1104261544) is an individual clinical provider in Clovis, California, licensed in California (LCSW19354) and active in the NPI registry since April 2013. She has opted out of Medicare through October 1, 2026.
NPPES Registry Identity
Specialties & Licenses
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacy Lynn Fazio Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104261544, enumerated as an "individual" on April 29, 2013.
The provider is located at 755 N PEACH AVE STE H14 CLOVIS, CA 93611 and the phone number is (555) 999-7308.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
