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

Mirian Fernandez, LCSW

Individual provider Clinical Social Worker · NPI 1316609779

Mirian Fernandez, LCSW is a Clinical Social Worker in Stockton, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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

9693 E Highway 26
Stockton, CA 95215-9752
Phone: (209) 774-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103476 (CA)

Record details

NPI number1316609779
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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