MR. JORGE LUIS FERNANDEZ (NPI# 1538288998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538288998 |
| Entity Type | Individual |
| Full Name | MR. JORGE LUIS FERNANDEZ |
| Credential | LCSW |
| Practice Address |
1510 Florida Ave Modesto CA 95350-4437 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2095741030 |
| Practice Fax Number | 2095741038 |
| Mailing Telephone | 2093855481 |
| Mailing Fax Number | 2093831296 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
ASW19954 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 29234 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | LCS 29234 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089965 | Jorge Daniel Fernandez | Behavior Technician | 9278 Sw 146th Ct, Miami, FL 33186-1071 | 2020-10-01 |
| 1205469640 | Jorge Fernandez | Case Manager/Care Coordinator | 15115 Sw 31st Ter, Miami, FL 33185-4904 | 2020-02-13 |
| 1871147173 | Jorge Antonio Fernandez | Specialist/Technologist, Other | 6131 Aztec Rd, El Paso, TX 79925-2012 | 2019-07-25 |
| 1386109809 | Jorge Fernandez | Social Worker | 380 Mather St Apt 2111, Hamden, CT 06514-3155 | 2019-02-08 |
| 1477993574 | Jorge Luis Fernandez Jr. | Physical Therapist | 556 Hialeah Dr, Hialeah, FL 33010-5349 | 2013-07-03 |
| 1649557059 | Jorge Enrique Fernandez | General Practice | 16325 Nw 78 Th Ave, Miami Lakes, FL 33016 | 2011-11-14 |
| 1578895314 | Jorge Arturo Fernandez | Obstetrics & Gynecology | 7100 W 20th Ave Ste 803, Hialeah, FL 33016-1814 | 2010-02-04 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| 1952389595 | Jorge Fernandez | Licensed Practical Nurse | Ave 65 Infanterria Km 3.4, Bo Sabana Llana, San Juan, PR 00924 | 2006-01-04 |
| 1730715590 | Jorge Fernandez | Behavior Technician | 8785 Sw 165th Ave Ste 103, Miami, FL 33193-5827 | 2020-03-12 |
| Street Address |
1510 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828868 | Eunice M. Baluyot | Family Medicine | 1510 Florida Ave, H, Modesto, CA 95350-4437 | 2005-11-18 |
| 1326601568 | Monique Bertulfo | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2019-04-14 |
| 1922577154 | Anna Elizabeth Donovan | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-11-16 |
| 1821563073 | Amaechi George Ozor | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-10-03 |
| 1174021521 | Charina Gellaco Quiambao | Nurse Practitioner | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-01-30 |
| 1063877561 | Angelina Yolanda Santillan | Social Worker | 1510 Florida Ave, Modesto, CA 95350-4437 | 2015-12-28 |
| 1437527348 | Sushma Indukuri | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2015-09-09 |
| 1609251925 | Pratibha Patil | Pediatrics | 1510 Florida Ave, Modesto, CA 95350 | 2015-07-28 |
| 1093133035 | Heather Lee | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2014-04-05 |
| 1982037271 | Conalu Liwag Bernardino | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801379672 | Myriam Cubillo | Social Worker | 2921 Winged Foot Ct, Modesto, CA 95355-9737 | 2018-09-07 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1518205236 | Veronica Renee Tovar | Social Worker | 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 | 2013-01-31 |
| 1649538869 | Maria Guadalupe Rameno | Social Worker | 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 | 2012-04-25 |
| 1952674947 | Kimberly Wright | Social Worker | 1832 Encina Ave, Modesto, CA 95354-1502 | 2012-02-22 |
| 1083921977 | Michelle Riley | Social Worker | 3340 Tully Rd Ste D4, Modesto, CA 95350 | 2010-09-13 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1952626392 | Jennifer Ellen Cooper | Social Worker | 800 Coffee Rd, Modesto, CA 95355-4233 | 2010-03-29 |
| 1063643930 | Jennifer Lee Johnson | Social Worker | 1321 I St Ste 3, Modesto, CA 95354-0902 | 2009-07-27 |
| 1639308547 | Dolores R Covarrubias | Social Worker | 1320 Standiford Ave Ste B, Modesto, CA 95350-0726 | 2009-07-13 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.