VIVIAN FAJARDO LCSW
NPI 1407471543
Social Worker in Peoria, AZ
About Vivian Fajardo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN FAJARDO LCSW (NPI 1407471543) is an individual social worker in Peoria, Arizona, licensed in Arizona (LCSW-18599) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vivian Fajardo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Vivian Fajardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Banner Alzheimers Institute
- 38 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Arizona enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, AZ 85382
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 Vivian Fajardo's NPI number?
The NPI number for Vivian Fajardo is 1407471543. It was assigned to this individual provider in the NPPES registry on June 15, 2020.
Where is Vivian Fajardo located?
Vivian Fajardo practices at 7865 W Bell Rd # 1056, Peoria, AZ 85382. The listed phone number is (602) 825-3925.
What is Vivian Fajardo's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Vivian Fajardo enrolled in Medicare?
Yes. Vivian Fajardo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Vivian Fajardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Fajardo reassigns Medicare benefits to 2 organizations: Banner Alzheimer's Institute (Phoenix, AZ) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivian Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vivian Fajardo accept?
Health plans from Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Vivian Fajardo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vivian Fajardo was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Vivian Fajardo, LCSW · NPI 1407471543
Social Worker provider in Peoria, Arizona. Individual provider, active in the CMS NPPES registry since June 15, 2020.
## Identity
- **NPI:** 1407471543 (Entity type: Individual)
- **Enumerated:** June 15, 2020
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** LCSW-18599 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7865 W BELL RD # 1056, Peoria, AZ 85382-3803
- **Phone:** (602) 825-3925
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner Alzheimer's Institute (NPI 1013966712, Phoenix, AZ); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 30, 2024
- **Other identifiers:** Medicaid 082142 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1407471543) · Data from the CMS NPPES public registry.