Provider Demographics
NPI:1861137978
Name:FAUBERT, JOHN JONES MORRIS (LMSW)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JONES MORRIS
Last Name:FAUBERT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 WADE HAMPTON BLVD # A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1168
Mailing Address - Country:US
Mailing Address - Phone:864-509-0774
Mailing Address - Fax:877-629-7598
Practice Address - Street 1:2510 WADE HAMPTON BLVD # A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1168
Practice Address - Country:US
Practice Address - Phone:864-509-0774
Practice Address - Fax:877-629-7598
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical