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

Jacqueline Favaro

Individual provider Clinical Social Worker · NPI 1639773989

Jacqueline Favaro is a Clinical Social Worker in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
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 LCSW-3906 (AZ)

Record details

NPI number1639773989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 24, 2020

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