JEANINE S FAIR MSW, CICSW
NPI 1174551774
Social Worker - Clinical in Portage, WI

Active since June 30, 2006
2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeanine S Fair Msw, Cicsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANINE S FAIR MSW, CICSW (NPI 1174551774) is an individual clinical provider in Portage, Wisconsin, licensed in Wisconsin (3127-123) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174551774
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANINE S FAIRCredential: MSW, CICSW
Location Address2901 HUNTERS TRLPortage, WI 53901-3403
Mailing Address2901 Hunters Trl, Po Box 301Portage, WI 53901-3403 · (608) 742-5518 · Fax (608) 742-4087
Fax(608) 742-4087
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174551774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 3127-123
Definition

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.

2901 HUNTERS TRL, Portage, WI 53901

Other Identifiers 2

Medicare UPINR95437WI
Medicaid39688300WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2901 HUNTERS TRL
PORTAGE, WI 53901
Psychologist (Clinical)
2901 HUNTERS TRL
PORTAGE, WI 53901
Nurse Practitioner (Psychiatric/Mental Health)
2901 HUNTERS TRL
PORTAGE, WI 53901
Psychiatry & Neurology (Psychiatry)
2901 HUNTERS TRL
PORTAGE, WI 53901
Counselor (Professional)
2901 HUNTERS TRL
PORTAGE, WI 53901
Counselor (Mental Health)
2901 HUNTERS TRL
PORTAGE, WI 53901
Psychologist
2901 HUNTERS TRL
PORTAGE, WI 53901
Counselor
2901 HUNTERS TRL
PORTAGE, WI 53901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Fair's NPI number?

The NPI number for Jeanine Fair is 1174551774. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jeanine Fair located?

Jeanine Fair practices at 2901 Hunters Trl, Portage, WI 53901. The listed phone number is (608) 742-5518.

What is Jeanine Fair's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jeanine Fair was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.