Provider Demographics
NPI:1235667999
Name:FARRER, JANESSA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:JANESSA
Middle Name:
Last Name:FARRER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84754-3350
Mailing Address - Country:US
Mailing Address - Phone:435-201-1008
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 595
Practice Address - Street 2:
Practice Address - City:EPHRAIM
Practice Address - State:UT
Practice Address - Zip Code:84627-0595
Practice Address - Country:US
Practice Address - Phone:435-283-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker