JORGE FERNANDEZ (NPI# 1386109809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386109809 |
| Entity Type | Individual |
| Full Name | JORGE FERNANDEZ |
| Credential | LCSW |
| Practice Address |
380 Mather St Apt 2111 Hamden CT 06514-3155 |
| Practice Telephone | 9179405147 |
| Mailing Telephone | 9179405147 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8471 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089965 | Jorge Daniel Fernandez | Behavior Technician | 9278 Sw 146th Ct, Miami, FL 33186-1071 | 2020-10-01 |
| 1205469640 | Jorge Fernandez | Case Manager/Care Coordinator | 15115 Sw 31st Ter, Miami, FL 33185-4904 | 2020-02-13 |
| 1871147173 | Jorge Antonio Fernandez | Specialist/Technologist, Other | 6131 Aztec Rd, El Paso, TX 79925-2012 | 2019-07-25 |
| 1477993574 | Jorge Luis Fernandez Jr. | Physical Therapist | 556 Hialeah Dr, Hialeah, FL 33010-5349 | 2013-07-03 |
| 1649557059 | Jorge Enrique Fernandez | General Practice | 16325 Nw 78 Th Ave, Miami Lakes, FL 33016 | 2011-11-14 |
| 1578895314 | Jorge Arturo Fernandez | Obstetrics & Gynecology | 7100 W 20th Ave Ste 803, Hialeah, FL 33016-1814 | 2010-02-04 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| 1952389595 | Jorge Fernandez | Licensed Practical Nurse | Ave 65 Infanterria Km 3.4, Bo Sabana Llana, San Juan, PR 00924 | 2006-01-04 |
| 1730715590 | Jorge Fernandez | Behavior Technician | 8785 Sw 165th Ave Ste 103, Miami, FL 33193-5827 | 2020-03-12 |
| 1285123950 | Jorge H Fernandez | Social Worker | 450 Brookline Ave, Boston, MA 02215-5450 | 2018-05-08 |
| Street Address |
380 MATHER ST APT 2111 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062339 | New Beginnings Behavioral Health LLC | Social Worker | 641 Gilbert Avenue, Hamden, CT 06514 | 2019-09-18 |
| 1376105767 | Mcangel Home Visiting Nurses LLC | Home Health | 1135 Sherman Ave., Hamden, CT 06514 | 2019-07-05 |
| 1467926139 | First Step Gentle Care Labor Doula Service | Doula | 20 Elliot Drive, Hamden, CT 06514 | 2019-01-16 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1023513272 | Ashley Nicole Miano | Behavioral Analyst | 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 | 2018-03-29 |
| 1619485166 | Hlc Partners LLC | Clinic/Center | 39 Marme St, Hamden, CT 06514 | 2018-01-18 |
| 1851832752 | Kareise Caldwell | Counselor | 123 Pinerock, Hamden, CT 06514 | 2017-03-13 |
| 1417407255 | Tempestt S Latham | Dental Hygienist | 158 Pearl Ave, Hamden, CT 06514 | 2016-10-05 |
| 1679945356 | Carolina Nanetrivera Parrott | Social Worker | 180 Pine Rock Ave, Hamden, CT 06514 | 2015-10-21 |
| 1629446976 | Ebun Aderibole | Counselor | 823 Pine Rock Ave, Hamden, CT 06514 | 2015-09-03 |
| Find all providers in zip 06514 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142469 | Social Work Engagement Specialist LLC | Social Worker | 3000 Whitney Ave # 215, Hamden, CT 06518-2353 | 2020-04-07 |
| 1023649480 | Jessica Adams | Social Worker | 1 Evergreen Ave Ste 12, Hamden, CT 06518-2717 | 2020-02-03 |
| 1215577911 | Footprint Initiative, LLC | Social Worker | 62 E Gate Ln, Hamden, CT 06514-2231 | 2020-01-09 |
| 1205473410 | Nicole Korth | Social Worker | 560 Gaylord Mountain Rd, Hamden, CT 06518-1009 | 2019-12-06 |
| 1063062339 | New Beginnings Behavioral Health LLC | Social Worker | 641 Gilbert Avenue, Hamden, CT 06514 | 2019-09-18 |
| 1881168870 | Tracy A Gilbert | Social Worker | 60 Washington Ave Ste 203, Hamden, CT 06518-3257 | 2019-01-14 |
| 1003387986 | Ashley Lauryn Mccray | Social Worker | 90 Phelps Dr, Hamden, CT 06514-1621 | 2018-12-17 |
| 1720576846 | Stefanie Theroux | Social Worker | 24 Thompson St, Hamden, CT 06518-3312 | 2018-04-24 |
| 1598260226 | Supportive Solutions Behavioral Health and Wellness LLC | Social Worker | 2911 Dixwell Ave Ste 302, Hamden, CT 06518-3130 | 2018-03-26 |
| 1992217491 | Andrea-lynne Decrosta | Social Worker | 126 Hodder Dr, Hamden, CT 06514-3310 | 2017-10-25 |
| Find all providers in HAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.