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

Sam Fernandez, LCSW

Individual provider Clinical Social Worker · NPI 1336218718

Sam Fernandez, LCSW is a Clinical Social Worker in Ukiah, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

333 Laws Ave
Ukiah, CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 22129 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCS22129 (CA)

Record details

NPI number1336218718
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESSeptember 11, 2025

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