Individual provider Active NPI

Lucille Fernandez, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1154566859
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13639 Issued in FL
Practice address
371 6TH Ave W
Bradenton, FL 34205-8820
Phone
(941) 782-4150
NPI assigned
Dec 9, 2008
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW13639 FL
Clinical Social Worker 1041C0700X SW13639 FL Primary

Addresses

Primary practice location

371 6TH Ave W
Bradenton, FL 34205-8820

Mailing address

PO Box 197515
Nashville, TN 37219-7515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160629001228 FL Practitioner - Clinical Social Worker 3577854140 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13639FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Florida, Inc. CurrentSince Feb 11, 2024 Accepting new patients
Luna Nueva Health Center LLC CurrentSince Aug 19, 2025 Accepting new patients
Transformative Healthcare Solutions North LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions South LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions Central LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions Inc Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions West LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions Gold Coast LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Transformative Healthcare Solutions East LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

1321 NE 24th Ave
Cape Coral, FL 33909
Phone (239) 294-2180

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

4243 Sunbeam Rd
Ste 8
Jacksonville, FL 32257

160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505

9381 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 220-0302

13115 W Linebaugh Ave
Ste 102
Tampa, FL 33626
Phone (786) 351-6022

4820 W Gandy Blvd
Tampa, FL 33611

3710 14th St
Vero Beach, FL 32960
Phone (772) 564-0063

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1154566859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197515",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372197515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-782-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUCILLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW13639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.