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

Jeanine S Fair, MSW, CICSW

Individual provider Clinical Social Worker · NPI 1174551774

Jeanine S Fair, MSW, CICSW is a Clinical Social Worker in Portage, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2901 Hunters Trl
Portage, WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
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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 3127-123 (WI)

Record details

NPI number1174551774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , CICSW
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 8, 2007

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