Marisol Fernandez, is a
Social Worker - Clinical based in San Jose, California. Marisol Fernandez is licensed to practice in California (license number 70028) and her current practice location is
150 W Hedding St, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 808-5221.
NPI number for Marisol Fernandez is 1114143385 and her current mailing address is Po Box 731589, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114143385.
Healthcare Provider's Profile
| Full Name | Marisol Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 150 W Hedding St, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114143385
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 09/16/2024
Medical Identifiers
Medical identifiers for Marisol Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114143385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 70028 (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. Marisol 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 |
|---|
Marisol Fernandez,
Po Box 731589,
San Jose, CA 95173-1589
Ph: () - | Marisol Fernandez,
150 W Hedding St,
San Jose, CA 95110-1706
Ph: (408) 808-5221 |
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