Maryam Farahvashi, SOCIAL WORKER, LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103900 Issued in TX

Practice address

1601 Main St Ste 211
Richmond, TX 77469-3230

Phone

(328) 474-8368

Fax

(832) 847-4852

NPI assigned

May 20, 2022

Last updated

Jun 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1871231852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 211",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "328-474-8368",
            "fax_number": "832-847-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 211",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "328-474-8368",
            "fax_number": "832-847-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4469 Clinton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324463453",
            "country_code": "US",
            "telephone_number": "185-039-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAHVASHI",
        "first_name": "MARYAM",
        "credential": "SOCIAL WORKER, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "103900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Familiar Ground Therapy PLLC
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• Famous Transport Ink
• Dayo M Fanimehin
• Joshua Luis Farinas, PTA
• Faris Ohan (Exceptional Eye Care)
• Holly Farkas, CCC-SLP
• Humaira Farukh, PA-C
• Crushonna Breon Fason

• Clinical Social Worker in Richmond, TX
• Providers in Richmond, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.