Iris Ellen Fanning

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.131791 Issued in IL

Practice address

6653 Weaver Rd Ste 106
Rockford, IL 61114-8068

Phone

(815) 599-7301

Fax

(779) 235-9660

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1194638668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 106",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148068",
            "telephone_number": "815-599-7300",
            "fax_number": "779-235-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 106",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148068",
            "telephone_number": "815-599-7301",
            "fax_number": "779-235-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "IRIS",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.131791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Guidance Centers, Inc.
• Family Matters-Pact
• Jamie Lynn Fanara, JAMIE FANARA, LCMT
• Joseph Thomas Fanara, DPM
• Sophia Kimberly Fanara, M.S. CCC-SLP
• Chenelle Renee Fanouth, PHARMD
• Fareha N. Malik, M.D. LLC
• Farhad Farokhi, DO
• Kari Elizabeth Farthing, MA CCC-SLP
• Jennifer L Fasano, APN

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.