Megan Fernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06666800 Issued in NJ

Practice address

221 Laurel Rd Ste 105
Voorhees, NJ 08043-8301

Phone

(856) 354-0664

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Megan Fernandez Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1003530387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 10TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD STE 105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438301",
            "telephone_number": "856-354-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06666800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bridge2balance.com/",
            "affiliation": "N",
            "address_1": "221 Laurel Rd Ste 105",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080438301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "FERNANDEZ",
            "credential": "MSSW, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enide Felin
• Heather E. Fellmeth, PSY.D.
• Roberta Felsenstein, M.D.
• Emily Minnie Fendrick
• Olga A. Ferenz, CRNA
• Kirsten Rose Cosme Fernando, MD
• Danna Ferrer, COTA
• Rachel Ferrer, CRNA
• Vincent Anthony Ferretti, DPM
• Kaitlyn Ferrill, M.D.

• Clinical Social Worker in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.