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

Individual provider Clinical Social Worker · NPI 1164743613

Lauren Loyal Fofanova, LCSW is a Clinical Social Worker in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
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

1300 S Yale St
Flagstaff, AZ 86001-6328
Phone: (713) 203-6947
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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 51007 (TX)

Record details

NPI number1164743613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 18, 2010
Last updated in NPPESApril 5, 2025
Certification dateApril 5, 2025

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