Elizabeth Inez Fernandez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09090 Issued in NM

Practice address

118 S Main St
Las Cruces, NM 88001-1266

Phone

(575) 647-2800

Fax

(575) 647-2898

NPI assigned

Sep 7, 2010

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.fernandez@lcdfnm.eclinicaldirectplus.com

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.

• La Clinica de Familia, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1528424397

  NM

  Medicare reassignment NPD
• La Clinica de Familia, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1134917040
  NPD
• La Clinica de Familia, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1164802310
  NPD

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1053628545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011266",
            "telephone_number": "575-647-2800",
            "fax_number": "575-647-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Griggs Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880011234",
            "country_code": "US",
            "telephone_number": "575-647-2800",
            "fax_number": "575-647-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "INEZ",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "468282YRND",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72430842",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Fenske, PTA
• Omar Fercha, ATC
• Jennifer Rose Ferguson
• Paul Fern, DMD
• Alexus Yolanda Fernandez
• Karen Evelia Fernandez
• Maria Fernandez
• Ryan Feroni Jr.
• Alonzo Joel Ferral, MSW
• Diane Ferrales, LMFT

• All providers in Las Cruces, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.