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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANDY FERNANDEZ, LCSW

Active

MANDY FERNANDEZ, LCSW is a Clinical Social Worker healthcare provider located in POCATELLO, Idaho. NPI 1407459258 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · POCATELLO, ID

Registration Details

NPI Number
1407459258
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2020 (5.6984415009823 yrs)
Last Updated
Nov 12, 2024
Licenses
LMSW-39280 (ID)
8861300 (ID)

Practice Information

Address
1777 E CLARK ST STE 330
POCATELLO, ID, 832013357
Browse ID providers · Browse ZIP 83201
Phone
2084789081
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in POCATELLO, ID

Name Credential NPI
MS. VICKI ANNE WATSON MSW 1679516009
KAYLENE BOBI HACKWORTH LCSW 1578599049
SALLIE SUBLETTE 1316961972
MRS. BARBARA JOYCE WATT LCSW 1437266251
MS. CRETE BROWN 1407947096
MS. REBECCA HARDY L.C.S.W. 1679648638
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.