Jessica Fernandes, MSW, RCSWI

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15639 Issued in FL

Practice address

8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903

Phone

(561) 810-6631

NPI assigned

Dec 7, 2022

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 names 1

• Jessica Trujillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1144931411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EUROPA DR APT E",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372147",
            "telephone_number": "908-499-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334726903",
            "telephone_number": "561-810-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "15639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TRUJILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fell Well Med Spa Inc
• Jon Fergenson, M.D.
• Amy M Ferguson
• Maki M Ferguson
• Florinda Fernandes
• Raicelys Fernandez Pelaez, RBT
• Gladis Fernandez San Miguel
• Hector Felipe Fernandez
• Marlene Fernandez
• Giovanni David Fernandini, RBT

• Social Worker in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.