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

Individual provider Clinical Social Worker · NPI 1992937734

Mrs. Kristyn Anne Fazzalaro, LCSW is a Clinical Social Worker in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

242 W Main St Ste 105
Tustin, CA 92780-7723
Phone: (714) 319-5714
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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 LCS 22810 (CA)

Record details

NPI number1992937734
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009

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