Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolin Rose Fan, LCSW

Individual provider Clinical Social Worker · NPI 1093182412

Carolin Rose Fan, LCSW is a Clinical Social Worker in Vacaville, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2100 Peabody Rd
Vacaville, CA 95687-6639
Phone: (707) 451-0182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 109079 (CA)

Record details

NPI number1093182412
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

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