Provider Demographics
NPI:1245626431
Name:JAVED, FAEIZA (LCSW)
Entity type:Individual
Prefix:
First Name:FAEIZA
Middle Name:
Last Name:JAVED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 W BAILIFF DR
Mailing Address - Street 2:
Mailing Address - City:KEARNS
Mailing Address - State:UT
Mailing Address - Zip Code:84118-7302
Mailing Address - Country:US
Mailing Address - Phone:801-634-3782
Mailing Address - Fax:
Practice Address - Street 1:5506 W BAILIFF DR
Practice Address - Street 2:
Practice Address - City:KEARNS
Practice Address - State:UT
Practice Address - Zip Code:84118-7302
Practice Address - Country:US
Practice Address - Phone:385-217-0487
Practice Address - Fax:801-203-5160
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker