FARY JALILI
NPI 1679926091
Social Worker - Clinical in Santa Rosa, CA

Q: What is Fary Jalili's NPI number?

The NPI number for Fary Jalili is 1679926091. It was assigned to this individual provider in the NPPES registry on July 20, 2016. The provider is also known as Farzaneh Jalili.

Q: What is Fary Jalili'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 Fary Jalili was last updated on January 31, 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.

Active since July 20, 2016PECOS Enrolled

4635 THOMAS LAKE HARRIS DR UNIT 318, SANTA ROSA, CA 95403(917) 574-1933 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fary Jalili NPPES

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

FARY JALILI (NPI 1679926091) is an individual clinical provider in Santa Rosa, California, licensed in California (118956) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679926091

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameFARY JALILI

Location Address4635 THOMAS LAKE HARRIS DR UNIT 318Santa Rosa, CA 95403-0195

Mailing Address4635 Thomas Lake Harris Dr Unit 318Santa Rosa, CA 95403-0195 · (917) 574-1933

Phone(917) 574-1933

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 20, 2016

Last NPPES UpdateJanuary 31, 2024

NPPES CertifiedJanuary 31, 2024

✔ NPI 1679926091 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 · 118956

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.

4635 THOMAS LAKE HARRIS DR UNIT 318, Santa Rosa, CA 95403

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Other Names 1

Other Name (5)Farzaneh Jalili

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fary Jalili is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527558998

PECOS Enrollment IDI20251104003867

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.04 – $187.01

Typical copayment $0.00 (range $15.76 – $46.75)

Most-billed visit code NA

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fary Jalili's NPI number?

The NPI number for Fary Jalili is 1679926091. It was assigned to this individual provider in the NPPES registry on July 20, 2016. The provider is also known as Farzaneh Jalili.

Where is Fary Jalili located?

Fary Jalili practices at 4635 Thomas Lake Harris Dr Unit 318, Santa Rosa, CA 95403. The listed phone number is (917) 574-1933.

What is Fary Jalili's specialty?

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

Is Fary Jalili enrolled in Medicare?

Yes. Fary Jalili is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fary Jalili was last updated on January 31, 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.