EDWIN ANTONIO FERNANDEZ LCSW95720
NPI 1891384244
Social Worker - Clinical in San Carlos, CA

Q: What is Edwin Fernandez's NPI number?

The NPI number for Edwin Fernandez is 1891384244. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Edwin 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 Edwin Fernandez was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 January 11, 2021

1303 SAN CARLOS AVE, SAN CARLOS, CA 94070(650) 394-5155 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, May 16, 2023, Jan 11, 2021 (3 updates tracked since 2021).

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About Edwin Antonio Fernandez Lcsw95720 NPPES

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

EDWIN ANTONIO FERNANDEZ LCSW95720 (NPI 1891384244) is an individual clinical provider in San Carlos, California, licensed in California (95720) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1891384244

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameEDWIN ANTONIO FERNANDEZCredential: LCSW95720

Location Address1303 SAN CARLOS AVESan Carlos, CA 94070-2317

Mailing Address21736 Westfield AveHayward, CA 94541-2563 · (650) 704-1755

Phone(650) 394-5155

Sole ProprietorNo

Enumeration DateJanuary 11, 2021

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1891384244 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 CA · 95720

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.

1303 SAN CARLOS AVE, San Carlos, CA 94070

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Other Identifiers 1

Medicaid1336504802CA

Other Providers at the Same Location NPPES 20

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

TERESA BRUZZO AMFT

Counselor (Mental Health)