Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM FERNANDEZ, LCSW
ActiveSAM FERNANDEZ, LCSW is a Psychologist healthcare provider located in UKIAH, California. NPI 1336218718 is currently active in the NPPES registry. Verify at CMS.
Psychologist · UKIAH, CA
Registration Details
- NPI Number
- 1336218718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.78449123084 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
LCS22129 (CA)22129 (CA)
Practice Information
- Address
-
333 LAWS AVEUKIAH, CA, 954826540Browse CA providers · Browse ZIP 95482
- Phone
- 7074681010
- Fax
- 7074680174
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL STEARNS OTTO | PH D | 1407932718 |
| MICHAEL QUACKENBUSH | LCSW | 1134299027 |
| DR. VICKIE J DWYER | PSY.D. | 1790842524 |
| MS. JUDITH C ALBERT | — | 1194861542 |
| MARTIN STEVE LORBER | PH.D. | 1033257357 |
| MS. JOANN J ROSEN | MA MFT | 1952449787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.