Active NPI
Anthony Fernandez, LCSW
- Clinical Social Worker
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6390 E Broadway Blvd
Tucson, AZ 85710-3517 - Phone
- (520) 284-7949
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6390 E Broadway Blvd
Tucson, AZ 85710-3517
Mailing address
6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone (520) 284-7949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926446 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Community Intervention Associates | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Community Intervention Associates, Inc. | Current | Accepting new patients | |
| Quality of Life Medical Centers, LLC | Current | Accepting new patients | |
| Solace Behavioral Health LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Community Intervention Assciates, Inc | Current | Accepting new patients | |
| Ton Santa Rosa Health Center | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Ton Santa Rosa Health Center | Past | Accepting new patients |
Locations
1326 W Highway 92
Ste J
Bisbee, AZ 85603
Phone (520) 366-3603
275 W Continental Rd
Ste 141
Green Valley, AZ 85622
Phone (520) 400-9229
1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319
2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545
6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935
6390 E Broadway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 284-7949
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357
2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436
Interoperability endpoints
- anthonyfernandez@tdh.allscriptsdirect.net
Organizations & group practices 15
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.
-
dba Community Intervention Associates
- Community/Behavioral Health Agency
- Bisbee, AZ
- NPI 1518250620
-
dba San Simon Health Center
- Health Service Clinic/Center
- Sells, AZ
- NPI 1588834998
TX
-
dba San Xavier Health Center
- Federal Public Health Clinic/Center
- Tucson, AZ
- NPI 1437157302
TX
-
dba Santa Rosa Health Center
- Federal Public Health Clinic/Center
- Sells, AZ
- NPI 1770581639
TX
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AZ
-
dba Communitiy Health Associates
- Community/Behavioral Health Agency
- Parker, AZ
- NPI 1144961152
-
dba Community Health Associates
- Community/Behavioral Health Agency
- Nogales, AZ
- NPI 1043504376
-
- Integrative Medicine Physician
- Tucson, AZ
- NPI 1508824855
-
dba Solace Behavioral Health
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1023614609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1023181377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6390 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103517",
"telephone_number": "520-284-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6390 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103517",
"telephone_number": "520-284-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926446",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.