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

Individual provider Clinical Social Worker · NPI 1285814970

Clea Marie Fairaizl, LCSW is a Clinical Social Worker in Poplar Bluff, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2017011361 (MO)

Record details

NPI number1285814970
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 9, 2007
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022

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