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

Individual provider Clinical Social Worker · NPI 1104261544

Stacy Lynn Fazio, LCSW is a Clinical Social Worker in Clovis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

755 N Peach Ave Ste H14
Clovis, CA 93611-7264
Phone: (555) 999-7308
Fax: (559) 712-6282
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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 LCSW19354 (CA)

Record details

NPI number1104261544
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 29, 2013
Last updated in NPPESAugust 28, 2022
Certification dateAugust 28, 2022

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