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

Fary Jalili

Individual provider Clinical Social Worker · NPI 1679926091

Fary Jalili is a Clinical Social Worker in Santa Rosa, California. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4635 Thomas Lake Harris Dr Unit 318
Santa Rosa, CA 95403-0195
Phone: (917) 574-1933
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 118956 (CA)

Record details

NPI number1679926091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Santa Rosa