Individual provider · Type 1 NPI

Sam Fernandez, LCSW

Psychologist · Ukiah, CA

NPI number 1336218718 Active

Practice location

333 Laws Ave
Ukiah, CA 95482-6540

Call (707) 468-1010 Map

Fax (707) 468-0174

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCS22129 (CA)
Psychologist Primary 103T00000X22129 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1336218718

Sam Fernandez, LCSW's National Provider Identifier is 1336218718, issued on Nov 7, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Ukiah, CA. The record was last updated on Sep 11, 2025.