Emily Fannan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88566 Issued in CA

Practice address

3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954

Phone

(858) 966-5832

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1083162275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 RANCHO MISSION RD UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082007",
            "telephone_number": "707-217-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231954",
            "telephone_number": "858-966-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 W. Citracado Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256428",
            "country_code": "US",
            "telephone_number": "760-525-3472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9445 Farnham St Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "858-444-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANNAN",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoua Fang, BA
• Wendy Fang
• Michael Christopher Fangerow, D.O.
• Yasamin Fani
• Heather Fankhauser, RADT I
• Michael Peyton Fanning, MD
• Ashraf F Fanous, M.D.
• Randy Fanous, M.D
• Joseph Ernest Fant, LVN
• Paul Timothy Fanta, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.