Melissa Fernandez, is a
Social Worker - Clinical based in Venice, California. Melissa Fernandez is licensed to practice in California (license number LCSW94156) and her current practice location is
204 Hampton Dr, Venice, California. She can be reached at her office (for appointments etc.) via phone at
(818) 261-0883.
NPI number for Melissa Fernandez is 1255969754 and her current mailing address is 204 Hampton Dr, Venice, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255969754.
Healthcare Provider's Profile
| Full Name | Melissa Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 204 Hampton Dr, Venice, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255969754
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 03/20/2024
Medical Identifiers
Medical identifiers for Melissa Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255969754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW94156 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106781 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW94156 (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. Melissa 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 |
|---|
Melissa Fernandez,
204 Hampton Dr,
Venice, CA 90291-2623
Ph: () - | Melissa Fernandez,
204 Hampton Dr,
Venice, CA 90291-2623
Ph: (818) 261-0883 |
Reviews and Comments