Edwin Antonio Fernandez, LCSW95720
Edwin Antonio Fernandez, LCSW95720 is a Clinical Social Worker in San Carlos, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
1303 San Carlos AveSan Carlos, CA 94070-2317
Phone: (650) 394-5155
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 95720 (CA) |
|---|
Record details
| NPI number | 1891384244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW95720 |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
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