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MANDY FERNANDEZ LMSW NPI 1407459258


NPI Information

NPI: 1407459258
Provider Name: MANDY FERNANDEZ, LMSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1777 E CLARK ST STE 330
POCATELLO, ID
ZIP 83201
Phone: (208) 478-9081
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Mandy Fernandez, LMSW is a social worker in Pocatello, ID. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Mandy Fernandez, LMSW NPI is 1407459258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1777 E CLARK ST STE 330
POCATELLO, ID
ZIP 83201-357
Phone: (208) 478-9081

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerLMSW-39280IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.