Provider Demographics
NPI:1184893513
Name:FARROHI, PARISA JULIA (LCSW)
Entity type:Individual
Prefix:
First Name:PARISA
Middle Name:JULIA
Last Name:FARROHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PARISA
Other - Middle Name:JULIA
Other - Last Name:FARROHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASTERS SOCIAL WORK
Mailing Address - Street 1:15400 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-1009
Mailing Address - Country:US
Mailing Address - Phone:510-990-7107
Mailing Address - Fax:
Practice Address - Street 1:15400 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1009
Practice Address - Country:US
Practice Address - Phone:510-990-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical