MEDICARE: MRS. ROSE M. FARRAR LISW-S/ LICDC

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	I0007170	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007254128	OTHER	OH	AETNA
2	000000004491	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1992796932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE M. FARRAR LISW-S/ LICDC

Provider Business Mailing Address
First Line	:	3160 EL CAMINO DR.
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-1318
Country	:	US
Telephone Number	:	937-342-9030
Fax Number	:	937-390-9039

Provider Business Practice Location Address
First Line	:	3160 EL CAMINO DR.
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-1318
Country	:	US
Telephone Number	:	937-342-9030
Fax Number	:	937-390-9039

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/14/2010

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1134110117 — MR. CURTIS GILLESPIE
Practice Location Address:

3162 EL CAMINO DR
SPRINGFIELD, OH
45503-1318

Practice Phone: 937-342-9030
Practice Fax:

1629086855 — RICHARD MARTIN NEDELMAN M.D.
Practice Location Address:

3152 EL CAMINO DR
SPRINGFIELD, OH
45503-1318

Practice Phone: 937-521-1111
Practice Fax:

1083785158 — DR. UMAMAHESWARA RAO VELLANKI M.D
Practice Location Address:

3162 EL CAMINO DR
SPRINGFIELD, OH
45503-1318

Practice Phone: 937-342-9030
Practice Fax: 937-342-9039

1336209584 — MICHAEL FRANCIS SCHWAIGER LISW
Practice Location Address:

3150 EL CAMINO DR
SPRINGFIELD, OH
45503-1318

Practice Phone: 937-342-9030
Practice Fax: 937-342-9039

1962541375 — SPRINGFIELD PSYCHIATRIC ASSOCIATES INC
Practice Location Address:

3162 EL CAMINO DR
SPRINGFIELD, OH
45503-1318

Practice Phone: 937-342-9030
Practice Fax: 937-342-9039

Directions to “ MRS. ROSE M. FARRAR LISW-S/ LICDC” 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.