Rose M. Farrar, LISW-S/ LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0007170 Issued in OH

Practice address

3160 El Camino Dr.
Springfield, OH 45503-1318

Phone

(937) 342-9030

Fax

(937) 390-9039

NPI assigned

Oct 31, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1992796932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 EL CAMINO DR.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-390-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 EL CAMINO DR.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-390-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "ROSE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LISW-S/ LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007254128",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000004491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Physicians of Springfield, Inc.
• Family Practice Associates of Springfield LLC
• Amber Fannin
• Anne Fantauzzo
• Nancy M Farnlacher, M.D
• Heidi Michelle Fauber, MSN, RN, NP-C
• Keri Faust, RN
• Gaetano Thomas Fazio Jr., M.D.
• Rebecca L Fazio, MS, LPC
• Lezli Robyn Fell

• Clinical Social Worker in Springfield, OH
• Providers in Springfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.