Eleanor J Farber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4615 Issued in TN

Practice address

4066 Summer Ave
Memphis, TN 38122-5225

Phone

(901) 531-1938

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1043459092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "901-531-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "901-531-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "ELEANOR",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "4615",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Fannin
• Emily Faquin, RD
• Nujud Ali Farag, MD
• Sherry Maher Sharkawy Farag
• Teresa Anne Farah
• Eliot Ransom Faris, PH.D.
• Leanne Minor Faris, PHARMD
• Kevin Joseph Farley, DC
• Allyn Noelle Farmer, PA
• Cynthia Farmer, LADAC II, LPC,MHSP

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.