Lissette Fernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18137 Issued in FL

Practice address

8967 White Sage Loop
Lakewood Ranch, FL 34202-6408

Phone

(941) 447-3583

NPI assigned

Oct 3, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liferza Counseling

  • Clinical Social Worker
  • Lakewood Ranch, FL
  • NPI 1144035817
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1144000563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8967 WHITE SAGE LOOP",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026408",
            "telephone_number": "941-447-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8967 WHITE SAGE LOOP",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026408",
            "telephone_number": "941-447-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LISSETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sophia Farrar, DC
• Gregg G Favereau, DC
• FDHS Hospitalists LLC
• Kathleen Feeney, ARNP
• Julia R. Feliciano, CRNA
• Joseph W. Ferrara, EDD
• Lauren Fields, CCC-SLP
• Danielle K Finn
• Julie N Finn, P.A.
• First Harbour Health Management, LLC

• Clinical Social Worker in Lakewood Ranch, FL
• Providers in Lakewood Ranch, 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 Dec 20, 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.

Verify at the official NPI Registry.