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

Vivian Fajardo, LCSW

Individual provider Social Worker · NPI 1407471543

Vivian Fajardo, LCSW is a Clinical Social Worker in Peoria, Arizona. Qualified in 2011, 15 years ago. Practices with Banner Alzheimers Institute, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2020
Specialties on file
2
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

7865 W Bell Rd # 1056
Peoria, AZ 85382-3803
Phone: (602) 825-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW-18599 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-18599 (AZ)

Record details

NPI number1407471543
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 15, 2020
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Banner Alzheimers Institute — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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