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

Ilene Fava

Individual provider Clinical Social Worker · NPI 1104746221

Ilene Fava is a Clinical Social Worker in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

12514 Harlow Ave
Riverside, CA 92503-4705
Phone: (951) 543-7760
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW139398 (CA)

Record details

NPI number1104746221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2026
Last updated in NPPESJuly 18, 2026
Certification dateJuly 18, 2026

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