Mr Anthony Fernandez, LCSW | |
6390 E Broadway Blvd, Tucson, AZ 85710-3517 | |
(520) 284-7949 | |
Not Available |
Full Name | Mr Anthony Fernandez |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6390 E Broadway Blvd, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023181377 | NPI | - | NPPES |
926446 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Community Intervention Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213 |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
Mailing Address | Practice Location Address |
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Mr Anthony Fernandez, LCSW 6390 E Broadway Blvd, Tucson, AZ 85710-3517 Ph: (520) 284-7949 | Mr Anthony Fernandez, LCSW 6390 E Broadway Blvd, Tucson, AZ 85710-3517 Ph: (520) 284-7949 |
Elizabeth A Hartung, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3037 W Ina Rd Ste 101, Tucson, AZ 85741 Phone: 520-353-3137 Fax: 520-353-3137 | |
Margo Linda Harrison Passarella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 W 29th St, Tucson, AZ 85713 Phone: 520-838-3886 | |
Mr. Ronald Edward Copeland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Pima St, Tucson, AZ 85712 Phone: 520-326-6182 | |
Michael Katz, LCSW, CCTP, BHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745 Phone: 602-545-3714 | |
Allyson Cushing, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Church Ave Ste 1200, Tucson, AZ 85701 Phone: 630-410-9578 | |
Ms. Margaret T Forgey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4533 E Cooper St, Tucson, AZ 85711 Phone: 520-207-4823 Fax: 520-327-6724 | |
Miss Lori Elizabeth Groenewold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 N Wyatt Dr, Tucson, AZ 85712 Phone: 520-324-2289 Fax: 520-324-3117 |