Jill Fabian, LCSW,LISAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10470 Issued in AZ

Practice address

7490 S Camino de Oeste
Tucson, AZ 85746-9308

Phone

(520) 879-6067

Fax

(520) 879-6099

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 2015By the provider in NPPES

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

Enrolled in TX

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pascua Yaqui Tribe

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1477868396

  TX

  Medicare reassignment NPD
• Pascua Yaqui Tribe

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1073767984
  NPD
• Pascua Yaqui Tribe

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1588879159
  NPD

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1144695602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6067",
            "fax_number": "520-879-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6067",
            "fax_number": "520-879-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "LCSW,LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "10470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Kenechukwu Ezekwe, M.D.
• Grace Chidinma Ezenwaka, PMHNP
• F.C. of Arizona, Inc. (Intrepid USA Healthcare Services)
• Kimberly Mikell Faber, FNP
• Tatum Faber
• James Eliot Fabricant, OD
• Angel Lena Fabriguze, PHARM D
• Mylanie C. Facelo, D.O.
• Rosemarie A Facilla, MSW
• Gilbert Jerry Facio, CSA

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.