Larry Fernandez, LCSW | |
108 W Victoria St, Gardena, CA 90248-3523 | |
(310) 715-2020 | |
Not Available |
Full Name | Larry Fernandez |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 108 W Victoria St, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396860938 | NPI | - | NPPES |
1396860938 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 29009 (California) | Primary |
Entity Name | Neu-self Awakening |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134795024 PECOS PAC ID: 3476927443 Enrollment ID: O20230315001512 |
Mailing Address | Practice Location Address |
---|---|
Larry Fernandez, LCSW 9953 Guatemala Ave, Downey, CA 90240-2047 Ph: (562) 305-8996 | Larry Fernandez, LCSW 108 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 715-2020 |
Valencia E Bernard, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W 190th St Ste 300, Gardena, CA 90248 Phone: 323-249-2950 | |
Ms. Tiffany Flood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-625-9472 | |
Lindsay Weglarz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 Fax: 310-512-6144 | |
Sherry Wang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-217-7300 | |
Ms. Janae Griffin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730 | |
Margarita Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Mr. John Williamson Beatty, Iii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |