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

Mandy Fernandez, LCSW

Individual provider Social Worker · NPI 1407459258

Mandy Fernandez, LCSW is a Clinical Social Worker in Pocatello, Idaho. Qualified in 2019, 7 years ago. Practices with High Country Behavioral Health, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1777 E Clark St Ste 330
Pocatello, ID 83201-3357
Phone: (208) 478-9081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8861300 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-39280 (ID)

Record details

NPI number1407459258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice High Country Behavioral Health — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Pocatello