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

Mr. Kenneth George Fournier, LICSW

Individual provider Clinical Social Worker · NPI 1003170838

Mr. Kenneth George Fournier, LICSW is a Clinical Social Worker in Prescott, Arizona. Licensed in Arizona and Minnesota. Registered with an NPI since 2012.

Licensed in
AZ, MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

500 N US Highway 89
Prescott, AZ 86313-5001
Phone: (928) 445-4860
Fax: (928) 776-6116
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5416 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 13543 (AZ)

Record details

NPI number1003170838
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESJune 26, 2012

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