Robert Ross Farra, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010770 Issued in IL

Practice address

1123 Emerson St Ste 202
Evanston, IL 60201-3100

Phone

(474) 404-4348

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1679559959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "312-607-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 EMERSON ST STE 202",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013100",
            "telephone_number": "474-404-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRA",
        "first_name": "ROBERT",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005345",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc James Falleroni, M.D.
• Ayesha Fareeduddin, MD
• Linda Fargano, LCSW
• Marius C. Farkas, DMD
• Andrew R. Farra, PSY.D.
• Abigail Farrell, PHD
• Elaine Farrell, MD
• Laurie J. Farrell, PA-C
• Claire K Farren, CRNA
• Dawn E. Farwell, APN-CNS

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Jan 29, 2024; 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.