MANDY FERNANDEZ LCSW
NPI 1407459258
Social Worker - Clinical in Pocatello, ID

Q: What is Mandy Fernandez's NPI number?

The NPI number for Mandy Fernandez is 1407459258. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Q: What is Mandy Fernandez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Fernandez was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since November 16, 2020PECOS EnrolledAccepts Medicare Assignment

1777 E CLARK ST STE 330, POCATELLO, ID 83201(208) 478-9081 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Nov 16, 2020 (2 updates tracked since 2020).

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About Mandy Fernandez Lcsw NPPES

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

MANDY FERNANDEZ LCSW (NPI 1407459258) is an individual clinical provider in Pocatello, Idaho, licensed in Idaho (8861300) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407459258

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMANDY FERNANDEZCredential: LCSW

Location Address1777 E CLARK ST STE 330Pocatello, ID 83201-3357

Mailing Address195 Charles PlPocatello, ID 83201-3248 · (208) 252-1764

Phone(208) 478-9081

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 16, 2020

Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1407459258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · 8861300

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.

Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-39280 (ID)

1777 E CLARK ST STE 330, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mandy Fernandez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507392396

PECOS Enrollment IDI20241203003451, I20250402000499

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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 $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 5

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

JESSE ALLEN CASE LMSW

Social Worker (Clinical)