MRS. EMILY FANNAN


Address: 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954
Phone: 8589665832

MRS. EMILY FANNAN (NPI# 1083162275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083162275
Entity Type Individual
Full Name MRS. EMILY FANNAN
Credential LCSW
Practice Address 3665 Kearny Villa Rd Ste 101
San Diego
CA 92123-1954
Mailing Address 6349 Rancho Mission Rd Unit 3
San Diego
CA 92108-2007
Practice Telephone 8589665832
Mailing Telephone 7072178908
Enumeration Date 2016-09-15
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
88566 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
625 W. Citracado Pkwy Ste 102, Escondido, CA 920256428 7605253472
9445 Farnham St Ste 100, San Diego, CA 92123 8584445101

Office Location

Street Address 3665 KEARNY VILLA RD STE 101
City SAN DIEGO
State CA
Zip Code 92123-1954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952573479 Anjelica Tetzil Ochoa Lewis Counselor 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2008-03-25
1558904573 Sally Allen Counselor 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2019-10-22
1801448014 Kim Thu Tran Student in an Organized Health Care Education/Training Program 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2019-07-09
1215429899 Sujin Chen Student in an Organized Health Care Education/Training Program 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2018-05-31
1700377850 Ana Fernanda Arguilez Case Manager/Care Coordinator 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2018-05-24
1437686334 Karen Schwartz Student in an Organized Health Care Education/Training Program 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2017-05-23
1316470941 Jonathan Ross Lavi Psychiatry & Neurology 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2017-04-10
1801349014 Victoria Kapper Counselor 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123 2016-07-25
1639515307 Kelly Mccullough Counselor 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123 2013-05-21
1407147325 Natalie Tram Do Psychiatry & Neurology 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123-1954 2011-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920536 Gillian Boyd Social Worker 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 2020-10-18
1194338087 Courage Over Comfort Counseling Licensed Clinical Social Worker PC Social Worker 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 2020-08-28
1619580057 Joseph Stephen Mcconico Social Worker 5274 Mount Alifan Dr, San Diego, CA 92111-2621 2020-08-25
1821600529 David James Prince Social Worker 1498 13th Street Bldg 184, San Diego, CA 98132 2020-08-24
1407467392 Tyler Drew Willis Social Worker 4665 Voltaire St, San Diego, CA 92107-1762 2020-08-13
1174132575 Sarah Greenstein Social Worker 11860 Carmel Creek Rd, San Diego, CA 92130-2474 2020-07-31
1730798190 Joelle G Johnson Social Worker 4904 Mansfield St, San Diego, CA 92116-1936 2020-07-30
1881203503 Micheaela Whaley Social Worker 4417 30th St Ste 112, San Diego, CA 92116-4284 2020-07-28
1033737812 Clara Loginov Social Worker 6727 Mohawk St, San Diego, CA 92115-1642 2020-07-08
1780208553 Ai-nhat Ngo Social Worker 9360 Activity Rd Ste B, San Diego, CA 92126-4410 2020-06-07
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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