Miss Faranak Fara Izadi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Folsom, California. Her current practice location is
1024 Iron Point Rd, Folsom, California. You can reach out to her office (for appointments etc.) via phone at
(818) 523-1576.
Miss Faranak Fara Izadi is licensed to practice in California (license number 80475) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801178843.
Healthcare Provider's Profile
| Full Name | Miss Faranak Fara Izadi |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1024 Iron Point Rd, Folsom, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801178843
- Provider Enumeration Date: 09/15/2011
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749541308
- Enrollment ID: I20180223001009
Medical Identifiers
Medical identifiers for Miss Faranak Fara Izadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801178843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW63031 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 80475 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Faranak Fara Izadi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Faranak Fara Izadi, LCSW
Po Box 853,
Lakeport, CA 95453-0853
Ph: (818) 523-1576 | Miss Faranak Fara Izadi, LCSW
1024 Iron Point Rd,
Folsom, CA 95630-8013
Ph: (818) 523-1576 |
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