Individual provider · Type 1 NPI

Edwin Antonio Fernandez, LCSW95720

Clinical Social Worker · San Carlos, CA

NPI number 1891384244 Active

Practice location

1303 San Carlos Ave
San Carlos, CA 94070-2317

Call (650) 394-5155 Map

Mailing address

21736 Westfield Ave
Hayward, CA 94541-2563

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X95720 (CA)

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 1891384244

Edwin Antonio Fernandez, LCSW95720's National Provider Identifier is 1891384244, issued on Jan 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Carlos, CA. The record was last updated on Sep 11, 2024.