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

Mr. Michael Wayne Smith- Fernandez, LCSW

Individual provider Mental Health Counselor · NPI 1154788065

Mr. Michael Wayne Smith- Fernandez, LCSW is a Clinical Social Worker in Winston, Oregon. Qualified in 2016, 10 years ago. Practices with Second Wind Mental Health Clinic, a 5-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

11 SW Brantley Dr
Winston, OR 97496-4526
Phone: (541) 679-0366
Fax: (541) 679-4821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 — (541) 673-3469
  • 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 — (541) 673-3469
  • 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 — (541) 673-3985

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence L10476 (OR)

Record details

NPI number1154788065
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2016
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Second Wind Mental Health Clinic — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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