Individual provider Active NPI

Ysaura Vanessa Fernandez, LCSW

  • Clinical Social Worker
  • West Orange, NJ
National Provider Identifier
1104560473
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06616700 Issued in NJ
Practice address
15 Whittlesey Ave
West Orange, NJ 07052-6113
Phone
(862) 324-3359
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC06616700 NJ Primary
Clinical Social Worker 1041C0700X 44SL05852800 NJ

Addresses

Primary practice location

15 Whittlesey Ave
West Orange, NJ 07052-6113

Mailing address

15 Whittlesey Ave
West Orange, NJ 07052-6113
Phone (862) 324-3359

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ysaura.rivera@centerFFS.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06616700NJMDClinical Social Worker
44SL05852800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandy Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ysaura.rivera@centerffs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1104560473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WHITTLESEY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526113",
            "telephone_number": "862-324-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WHITTLESEY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526113",
            "telephone_number": "862-324-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "YSAURA",
        "middle_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06616700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05852800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ysaura.rivera@centerFFS.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Vanderhoof Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078663138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.