MARYAM FATERIOUN MSW NPI 1679940027

NPI Information

NPI: 1679940027
Provider Name: MARYAM FATERIOUN, MSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
514 RIVERVIEW AVE
WAUKESHA, WI
ZIP 53188
Phone: (262) 548-7666
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Maryam Faterioun, MSW is an addiction (substance use disorder) counselor in Waukesha, WI. Maryam Faterioun, MSW NPI is 1679940027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

514 RIVERVIEW AVE
WAUKESHA, WI
ZIP 53188-631
Phone: (262) 548-7666
Fax: (262) 970-6696

The NPI 1679940027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 9/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	129495	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17144	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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