Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea K-P Fafford, LCSW

Individual provider Clinical Social Worker · NPI 1255689022

Andrea K-P Fafford, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

6501 3rd Ave
Kenosha, WI 53143-5111
Phone: (262) 914-6540
Fax: (262) 997-1061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3708 16th Ave, Kenosha, WI 53140-2441 — (262) 605-0864

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7912-123 (WI)

Record details

NPI number1255689022
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 27, 2012
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

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