Mirian Fernandez, LCSW is a
Counselor - Mental Health based in Stockton, California. Mirian Fernandez is licensed to practice in California (license number ) and her current practice location is
9693 E Highway 26, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 774-6405.
NPI number for Mirian Fernandez is 1316609779 and her current mailing address is 310 Harbor Blvd, Belmont, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316609779.
Healthcare Provider's Profile
Full Name | Mirian Fernandez |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 9693 E Highway 26, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316609779
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 11/08/2021
Medical Identifiers
Medical identifiers for Mirian Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316609779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 103476 (California) | Secondary |
101YM0800X | Counselor - Mental Health | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mirian Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mirian Fernandez, LCSW 310 Harbor Blvd, Belmont, CA 94002-4018 Ph: (209) 331-3722 | Mirian Fernandez, LCSW 9693 E Highway 26, Stockton, CA 95215-9752 Ph: (209) 774-6405 |
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