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

Individual provider Clinical Social Worker · NPI 1639899818

Phyllis Farmer is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3645 Shadowbrook Dr
Stockton, CA 95219-1726
Phone: (209) 518-9789
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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 20579 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 79760 (CA)

Record details

NPI number1639899818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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