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

MR. JORGE LUIS FERNANDEZ, LCSW

Active

MR. JORGE LUIS FERNANDEZ, LCSW is a Clinical Social Worker healthcare provider located in MODESTO, California. NPI 1538288998 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MODESTO, CA

Registration Details

NPI Number
1538288998
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2007 (19.363723377564 yrs)
Last Updated
Jun 25, 2014
Licenses
ASW19954 (CA)
LCS 29234 (CA)

Practice Information

Address
1510 FLORIDA AVE
MODESTO, CA, 953504437
Browse CA providers · Browse ZIP 95350
Phone
2095741030
Fax
2095741038
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MODESTO, CA

Name Credential NPI
MR. WILLIAM LEON BODDIE II L.C.S.W 1003842311
MRS. KATHERINE MARY SCHOLTEN LMSW 1952334880
MS. CYNTHIA SUZANNE CHAPA LCSW 1578585782
PAUL SAMUEL CRENSHAW LCSW 1033125059
MR. DANIEL J. BRUCE L.C.S.W. 1891889366
JIMMY DEAN VAN TASSEL LCSW 1699831214
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.