MEDICARE: EMILY CHRISTINE FARLEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	119057	CA

General Provider Information

NPI Number	:	1528946282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CHRISTINE FARLEY LCSW

Provider Business Mailing Address
First Line	:	5835 S EASTERN AVE
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90040-4029
Country	:	US
Telephone Number	:	213-212-0633
Fax Number	:	323-728-9189

Provider Business Practice Location Address
First Line	:	3839 BROCKTON AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92501-3201
Country	:	US
Telephone Number	:	951-486-1506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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