Fern Psychotherapy & Clinical Training PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FERN PSYCHOTHERAPY & CLINICAL TRAINING PLLC

Practice address

1647 Sun City Center PLZ Ste 204B
Sun City Center, FL 33573-5334

Phone

(813) 419-4096

Fax

(813) 419-4096

NPI assigned

Aug 14, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Francine S. Fern, LCSW, QSNPI 1740200716

Title

Owner

Phone

(813) 419-4096

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francine Siegel Fern, LCSW

  • Clinical Social Worker
  • Sun City Center, FL
  • NPI 1740200716
  NPD (past) Authorized official

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1164337382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 COQUINA BAY LN",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984060",
            "telephone_number": "813-419-4096",
            "fax_number": "813-419-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SUN CITY CENTER PLZ STE 204B",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735334",
            "telephone_number": "813-419-4096",
            "fax_number": "813-419-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN PSYCHOTHERAPY & CLINICAL TRAINING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-419-4096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, QS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Francine Siegel Fern, LCSW
• Madeline Elena Fezzie, OTR/L
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• William Brian Flannery, OT
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• Clinical Social Worker in Sun City Center, FL
• Providers in Sun City Center, 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 Aug 14, 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.