CAROLIN ROSE FAN LCSW
NPI 1093182412
Social Worker - Clinical in Vacaville, CA

Active since September 02, 2015
2100 PEABODY RD, VACAVILLE, CA 95687(707) 451-0182 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolin Rose Fan Lcsw NPPES

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

CAROLIN ROSE FAN LCSW (NPI 1093182412) is an individual clinical provider in Vacaville, California, licensed in California (109079) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1093182412
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLIN ROSE FANCredential: LCSW
Location Address2100 PEABODY RDVacaville, CA 95687-6639
Mailing Address2786 Brentwood PlDavis, CA 95618-4877
Sole ProprietorNo
Enumeration DateSeptember 2, 2015
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1093182412 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 · 109079
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.
2100 PEABODY RD, Vacaville, CA 95687

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.

Psychologist
2100 PEABODY RD
VACAVILLE, CA 95687
Social Worker
2100 PEABODY RD
VACAVILLE, CA 95687
Psychiatry & Neurology (Forensic Psychiatry)
2100 PEABODY RD
VACAVILLE, CA 95687
Pharmacist
2100 PEABODY RD
VACAVILLE, CA 95687
Student in an Organized Health Care Education/Training Program
2100 PEABODY RD
VACAVILLE, CA 95687
Family Medicine (Adult Medicine)
2100 PEABODY RD
VACAVILLE, CA 95687
Psychologist (Clinical)
2100 PEABODY RD
VACAVILLE, CA 95687
Dentist (General Practice)
2100 PEABODY RD
VACAVILLE, CA 95687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolin Fan's NPI number?

The NPI number for Carolin Fan is 1093182412. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Carolin Fan located?

Carolin Fan practices at 2100 Peabody Rd, Vacaville, CA 95687. The listed phone number is (707) 451-0182.

What is Carolin Fan's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolin Fan was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.