Provider Demographics
NPI:1841471836
Name:PIROOZMANDI-NORGAARD, FARIBA (LCSW)
Entity type:Individual
Prefix:MS
First Name:FARIBA
Middle Name:
Last Name:PIROOZMANDI-NORGAARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21306 82ND PL SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-7399
Mailing Address - Country:US
Mailing Address - Phone:817-807-5082
Mailing Address - Fax:
Practice Address - Street 1:2363 HIGHWAY 287 N STE 207
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7587
Practice Address - Country:US
Practice Address - Phone:817-807-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-18
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical