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MR. LAURENCE FERNANDEZ LCSW
NPI 1285102301
Social Worker - Clinical in Bridgeport, CT

Active since November 06, 2018PECOS Enrolled
97 MIDDLE ST, BRIDGEPORT, CT 06604(203) 579-7368 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Laurence Fernandez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAURENCE FERNANDEZ LCSW (NPI 1285102301) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (009632) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285102301
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. LAURENCE FERNANDEZCredential: LCSW
Location Address97 MIDDLE STBridgeport, CT 06604-4410
Mailing Address89 Adla DrHamden, CT 06514-1806 · (347) 666-0397
Phone(203) 579-7368
Sole ProprietorYes
Enumeration DateNovember 6, 2018
✔ NPI 1285102301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 009632
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
97 MIDDLE ST, Bridgeport, CT 06604
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Laurence Fernandez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laurence Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
16 mi
Psychiatric Hospital
34 PARK STREET
New Haven, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 clinicians in this Medicare group
NPI 1881629434 (203) 974-7417

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARION GINDEK
Social Worker (Clinical)
97 MIDDLE ST
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 579-7401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurence Fernandez's NPI number?

The NPI number for Laurence Fernandez is 1285102301. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Laurence Fernandez located?

Laurence Fernandez practices at 97 Middle St, Bridgeport, CT 06604. The listed phone number is (203) 579-7368.

What is Laurence Fernandez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Laurence Fernandez enrolled in Medicare?

Yes. Laurence Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laurence Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurence Fernandez reassigns Medicare benefits to State Of Connecticut (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurence Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laurence Fernandez was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.