Provider Demographics
NPI:1124915277
Name:FARBER, JEFFREY LAWRENCE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LAWRENCE
Last Name:FARBER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429A TURNEY ST
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-1942
Mailing Address - Country:US
Mailing Address - Phone:408-340-0260
Mailing Address - Fax:
Practice Address - Street 1:429A TURNEY ST
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-1942
Practice Address - Country:US
Practice Address - Phone:408-340-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1218711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical