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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043736358

Ian Fetterolf, MA, MSW is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Works from 3 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

7777 Fay Ave Ste 205
LA Jolla, CA 92037-4324
Phone: (415) 646-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1436 Goodrich Blvd, Commerce, CA 90022-5111 — (323) 832-9795
  • 777 Fay Avenue, La Jolla, CA 92037 — (415) 646-4506

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043736358
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , MSW
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 23, 2022

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