Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ILENE FAVA
NPI 1104746221
Social Worker - Clinical in Riverside, CA

Active since July 18, 2026
12514 HARLOW AVE, RIVERSIDE, CA 92503(951) 543-7760 Get Directions Write a Review

NPPES record added: July 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilene Fava NPPES

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

ILENE FAVA (NPI 1104746221) is an individual clinical provider in Riverside, California, licensed in California (ASW139398) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104746221
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameILENE FAVA
Location Address12514 HARLOW AVERiverside, CA 92503-4705
Mailing Address12514 Harlow AveRiverside, CA 92503-4705
Sole ProprietorYes
Enumeration DateJuly 18, 2026
NPPES CertifiedJuly 18, 2026
NPI 1104746221 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 · ASW139398
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.
12514 HARLOW AVE, Riverside, CA 92503

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 Ilene Fava's NPI number?

The NPI number for Ilene Fava is 1104746221. It was assigned to this individual provider in the NPPES registry on July 18, 2026.

Where is Ilene Fava located?

Ilene Fava practices at 12514 Harlow Ave, Riverside, CA 92503. The listed phone number is (951) 543-7760.

What is Ilene Fava'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 Ilene Fava was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.