Nancy Eileen Fernbach, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 6039 Issued in CA

Practice address

755 Thorsen CT
Los Altos, CA 94024-6630

Phone

(650) 941-6631

NPI assigned

Jul 19, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518986504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 THORSEN CT",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246630",
            "telephone_number": "650-941-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 THORSEN CT",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246630",
            "telephone_number": "650-941-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNBACH",
        "first_name": "NANCY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Barry Favreau, MD
• Kenneth William Felch, D.C.
• Howard Fenn, MD
• Carol Ann Fenwick, C.C.C.
• Sarah Fermor, DC
• Stephen Alton Fernbach, MD
• Christina Ficovich
• Sharon Dana Fiekowsky, NP
• Field and Hartley Dental Corp
• Joseph Field

• Clinical Social Worker in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.