Individual provider · Type 1 NPI

Patrice C. Fernandez

Clinical Social Worker · Ave Maria, FL

NPI number 1124963822 Active

Practice location

5479 Cassidy Ln
Ave Maria, FL 34142-5107

Mailing address

PO Box 3586
Lawrence, KS 66046-0586

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20845 (FL)
Clinical Social Worker 1041C0700X13937 (KS)

Clinical Social Worker: 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 interpers…

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About NPI 1124963822

Patrice C. Fernandez's National Provider Identifier is 1124963822, issued on Apr 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ave Maria, FL. The record was last updated on Apr 21, 2026.