MEDICARE: VIVIAN FAJARDO 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	104100000X	Social Worker	LCSW-18599	AZ
2	1041C0700X	Clinical Social Worker	LCSW-18599	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407471543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN FAJARDO LCSW

Provider Business Mailing Address
First Line	:	7865 W BELL RD # 1056
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:	602-825-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	7865 W BELL RD # 1056
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:	602-825-3925
Fax Number	:

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

Provider Enumeration Date	:	06/15/2020
Last Update Date	:	09/30/2024

Similar Medicare Providers

1578422614 — LAURA LYNN HAMMOND FNP
Practice Location Address:

7865 W BELL RD # 1125
PEORIA, AZ
85382-3803

Practice Phone: 480-375-8310
Practice Fax: 480-631-0617

1861904930 — DEMI MCGAULEY RDN
Practice Location Address:

7865 W BELL RD # 1147
PEORIA, AZ
85382-3803

Practice Phone: 480-688-1779
Practice Fax:

1952032328 — AZ PURE WELLNESS, LICENSED CLINICAL SOCIAL WORKER, P.C.
Practice Location Address:

7865 W BELL RD # 1056
PEORIA, AZ
85382-3803

Practice Phone: 602-825-3925
Practice Fax:

1124705132 — FAMILY FIRST NEMT LLC
Practice Location Address:

7865 W BELL RD # 1080
PEORIA, AZ
85382-3803

Practice Phone: 450-285-7036
Practice Fax:

1083471577 — A NEW BEGINNING HEALTH CARE LLC
Practice Location Address:

7865 W BELL RD # 1157
PEORIA, AZ
85382-3803

Practice Phone: 623-242-2762
Practice Fax:

1154151850 — BRIANA J GRANADO RD
Practice Location Address:

7865 W BELL RD
PEORIA, AZ
85382-3803

Practice Phone: 623-221-0855
Practice Fax:

Directions to “ VIVIAN FAJARDO LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.