Provider Demographics
NPI:1669154241
Name:FLEMING, FELICIA ARLEAN (LCSW)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:ARLEAN
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:ARLEAN
Other - Last Name:BROWN-MEADOWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5081 SALON DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-1476
Mailing Address - Country:US
Mailing Address - Phone:510-367-6757
Mailing Address - Fax:
Practice Address - Street 1:602 WOODLARK DR
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2244
Practice Address - Country:US
Practice Address - Phone:510-367-6757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA663411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical