VIVIAN FAJARDO


Address: 8610 W Paradise Ln, Peoria, AZ 85382-3542
Phone: 6233298666

VIVIAN FAJARDO (NPI# 1407471543) 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) 1407471543
Entity Type Individual
Full Name VIVIAN FAJARDO
Credential LCSW
Practice Address 8610 W Paradise Ln
Peoria
AZ 85382-3542
Practice Telephone 6233298666
Mailing Telephone 6233298666
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LCSW-18599 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 8610 W PARADISE LN
City PEORIA
State AZ
Zip Code 85382-3542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205435146 Arizona Ot Solutions LLC Occupational Therapist 7450 W. Karen Lee Lane, Peoria, AZ 85382 2020-10-21
1497380604 Idream Psychiatry Psychiatry & Neurology 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 2020-03-08
1770137648 Stefan Cseh Occupational Therapy Assistant 8765 W Keiton Lane #116, Peona, AZ 85382 2019-07-30
1174177422 Assyrian Cultural Foundation of Arizona Homemaker 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 2019-07-25
1073072765 Darby Shipman Physical Therapist 8685 W. Union Hills Drive, Peoria, AZ 85382 2019-03-13
1811483480 Kimberly Ann Cochran Nurse Practitioner 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 2018-07-07
1831693514 Summa Health Care, PC Family Medicine 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 2018-03-19
1497258727 Nkemdirim Obiora Nurse Practitioner 7853 West Lone Cactus Drive, Peoria, AZ 85382 2018-03-13
1851893721 Alyssa Michelle Bauman Registered Nurse 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 2018-03-06
1043767106 Jason Mcaddley Pharmacist 9425 West Union Hills Drive, Peoria, AZ 85382 2016-09-07
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336747633 Latrisha Mooberry Social Worker 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 2020-10-09
1912449083 Denise Rae Social Worker 7138 W Sunnyside Dr, Peoria, AZ 85345-8915 2016-11-07
1285009977 Norma Strong Social Worker 8753 W Desert Trl, Peoria, AZ 85381-5121 2015-12-06
1932511284 Duane Mckillip Social Worker 2128 N Wellington Dr, Peoria, IL 61604-3042 2014-05-21
1053610741 Jennifer Affuso Social Worker 13460 N 94th Dr Ste M1, Peoria, AZ 85381-4247 2011-03-21
1952621088 Alisia Danielle Davis Social Worker 6846 W Ironwood Dr, Peoria, AZ 85345-6841 2010-06-11
1528388170 Stephanie Mooningham Social Worker 7865 W Boca Raton Rd, Peoria, AZ 85381-4687 2010-06-06
1427381235 Bryan Darvell Sanford Social Worker 12567 W Mazatzal Dr, Peoria, AZ 85383-0380 2009-09-11
1982844841 Deborah Jean Simonis-gayed Social Worker 2426 W Cornerstone Ct, Peoria, IL 61614-2492 2009-03-04
1023253846 Douglas Shouse Social Worker 7535 W Tumblewood Dr, Peoria, AZ 85382-4821 2008-12-08
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City PEORIA
Zip Code 85382

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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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