Jorge Luis Fernandez in Modesto - Clinical
Jorge Luis Fernandez - NPI 1538288998
Jorge Luis Fernandez is a Clinical in Modesto, California. Jorge Luis Fernandez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jorge Luis Fernandez is 1538288998. The last update date is 2014-06-25.
Jorge Luis Fernandez's current location address is 1510 Florida Ave, Modesto, California. You can contact this provider via phone number 2095741030 and fax number 2095741038. The mailing address for Jorge Luis Fernandez is 1510 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge Luis Fernandez |
|---|---|
| Address | 1510 Florida Ave, Modesto, California |
| Phone Number | 2095741030 |
| Fax Number | 2095741038 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1538288998 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 1510 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504437 |
| Phone Number | 2095741030 |
| Fax Number | 2095741038 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 29234 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS 29234 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jorge Luis Fernandez by the Centers for Medicare & Medicaid Services (CMS)?
The Jorge Luis Fernandez has been assigned the NPI (National Provider Identifier) 1538288998. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jorge Luis Fernandez's facilities are situated?
The facilities of Jorge Luis Fernandez are physically located at the following address: 1510 Florida Ave, Modesto, CA, 953504437.
What is Jorge Luis Fernandez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jorge Luis Fernandez is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Jorge Luis Fernandez's 1538288998 issued?
The Jorge Luis Fernandez's 1538288998 was issued on 2007-03-28.
As of what date was the information pertaining to Jorge Luis Fernandez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jorge Luis Fernandez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-25.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN