Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Putsopheak Fernando

Individual provider Social Worker · NPI 1649468695

Jacqueline Putsopheak Fernando is a Social Worker in Fresno, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

1134 E Champlain Dr Ste 101-710
Fresno, CA 93720-5033
Phone: (650) 863-8325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW62661 (CA)

Record details

NPI number1649468695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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