MRS. EMILY FANNAN LCSW
NPI 1083162275
Social Worker - Clinical in San Diego, CA

Q: What is Emily Fannan's NPI number?

The NPI number for Emily Fannan is 1083162275. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Q: What is Emily Fannan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Emily Fannan was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2016

3665 KEARNY VILLA RD STE 101, SAN DIEGO, CA 92123(858) 966-5832 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2019, Jun 20, 2019, May 22, 2018 and 1 more (4 updates tracked since 2016).

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About Mrs. Emily Fannan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EMILY FANNAN LCSW (NPI 1083162275) is an individual clinical provider in San Diego, California, licensed in California (88566) and active in the NPI registry since September 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083162275

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. EMILY FANNANCredential: LCSW

Location Address3665 KEARNY VILLA RD STE 101San Diego, CA 92123-1954

Mailing Address6349 Rancho Mission Rd Unit 3San Diego, CA 92108-2007 · (707) 217-8908

Phone(858) 966-5832

Sole ProprietorYes

Enumeration DateSeptember 15, 2016

Last NPPES UpdateAugust 27, 20194 updates tracked since enumeration

✔ NPI 1083162275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 88566

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3665 KEARNY VILLA RD STE 101, San Diego, CA 92123

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Secondary Practice Locations 2

Location 1625 W. Citracado Pkwy Ste 102Escondido, CA 92025-6428 · Phone (760) 525-3472

Location 29445 Farnham St Ste 100San Diego, CA 92123 · Phone (858) 444-5101

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CECILE SAKURA SUNAHARA

Student in an Organized Health Care Education/Training Program