John F Faber, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13085 Issued in FL

Practice address

146 2ND St N
Suite 310
St Petersburg, FL 33701-3328

Phone

(727) 744-9666

Fax

(727) 313-9606

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1295193381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 AVENUE DES PALAIS",
            "address_2": "1B",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072834",
            "telephone_number": "727-744-9666",
            "fax_number": "727-313-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 2ND ST N",
            "address_2": "SUITE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013328",
            "telephone_number": "727-744-9666",
            "fax_number": "727-313-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13085",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW0108782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyeglass World
• Eyes on Central Inc
• Kelly Ezagury
• Juliet N Ezepue, : DNP, PMHNP
• Edward M Fabelo, MD
• Kathryn Fabritiis, ARNP
• Mia Rose Facione
• Latosha Facyson
• Joshua J Fagan, FNP
• Allison Gina Fahy, MD

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.