Provider Demographics
NPI:1366339343
Name:FARQUHAR, SIERRA (ASW)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:FARQUHAR
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 OLD MAMMOTH RD # 204
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH LAKES
Mailing Address - State:CA
Mailing Address - Zip Code:93546-6357
Mailing Address - Country:US
Mailing Address - Phone:760-709-0262
Mailing Address - Fax:
Practice Address - Street 1:549 OLD MAMMOTH RD # 204
Practice Address - Street 2:
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-6357
Practice Address - Country:US
Practice Address - Phone:760-709-0262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW130974104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker