Active NPI
Alexis Nicole Fernandez, M.A
- Social Worker
- New York, NY
National Provider Identifier
1346376563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 900 Broadway Ste 910
New York, NY 10003-1249 - Phone
- (310) 970-4744
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001-084 | NY | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
900 Broadway Ste 910
New York, NY 10003-1249
Mailing address
1205 Pacific Hwy Unit 2806
San Diego, CA 92101-8466
Phone (310) 970-4744
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001-084 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1346376563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 PACIFIC HWY UNIT 2806",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018466",
"telephone_number": "310-970-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BROADWAY STE 910",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031249",
"telephone_number": "310-970-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001-084",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.