Rose M. Fernandez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 6883 Issued in FL

Practice address

15423 SW 115TH St
Miami, FL 33196-6307

Phone

(305) 323-7113

Fax

(305) 386-5772

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bertha Abess Children'S Center, Ins.

  • Clinical Social Worker
  • Miami, FL
  • NPI 1366574766
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013122589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15423 SW 115TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966307",
            "telephone_number": "305-323-7113",
            "fax_number": "305-386-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15423 SW 115TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966307",
            "telephone_number": "305-323-7113",
            "fax_number": "305-386-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROSE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590976373",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Angel Fernandez, D.C
• Rosa M Fernandez
• Rosa M. Fernandez, BA
• Rosa Maria Fernandez, MS CCC-SLP
• Rosa Murga Fernandez, PTA
• Rosemely Fernandez
• Rosy Marlen Fernandez, LCSW
• Sabrina Fernandez, ATC
• Samantha Elizabeth Fernandez, OD
• Sander Fernandez, M.D.

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.