Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE PUTSOPHEAK FERNANDO
NPI 1649468695
Social Worker in Fresno, CA

Q: What is Jacqueline Fernando's NPI number?

The NPI number for Jacqueline Fernando is 1649468695. It was assigned to this individual provider in the NPPES registry on October 3, 2007. The provider is also known as Jacqueline Putsopheak Tak.

Q: What is Jacqueline Fernando's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 03, 2007

1134 E CHAMPLAIN DR STE 101-710, FRESNO, CA 93720(650) 863-8325 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Putsopheak Fernando NPPES

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

JACQUELINE PUTSOPHEAK FERNANDO (NPI 1649468695) is an individual social worker in Fresno, California, licensed in California (LCSW62661) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1649468695

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJACQUELINE PUTSOPHEAK FERNANDO

Location Address1134 E CHAMPLAIN DR STE 101-710Fresno, CA 93720-5033

Mailing Address1860 E Bella Rosa AveFresno, CA 93730-7026 · (650) 863-8325

Phone(650) 863-8325

Sole ProprietorNo

Enumeration DateOctober 3, 2007

Last NPPES UpdateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1649468695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · LCSW62661

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1134 E CHAMPLAIN DR STE 101-710, Fresno, CA 93720

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Other Names 1

Other Name (5)Jacqueline Putsopheak Tak

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 Jacqueline Fernando's NPI number?

The NPI number for Jacqueline Fernando is 1649468695. It was assigned to this individual provider in the NPPES registry on October 3, 2007. The provider is also known as Jacqueline Putsopheak Tak.

Where is Jacqueline Fernando located?

Jacqueline Fernando practices at 1134 E Champlain Dr Ste 101-710, Fresno, CA 93720. The listed phone number is (650) 863-8325.

What is Jacqueline Fernando's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fernando was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.