Gretchen Fernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31767 Issued in TX

Practice address

12830 Hillcrest Rd # D-111
Dallas, TX 75230-1527

Phone

(972) 816-1162

NPI assigned

Oct 3, 2006

Last updated

Apr 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Office of Gretchen Fernandez, LCSW, PC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1629314992
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1750476321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 HILLCREST RD # D-111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301527",
            "telephone_number": "972-816-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HILLCREST RD # D-111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301527",
            "telephone_number": "972-816-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GRETCHEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria-Jose Fernandez-Diaz, LMFT
• Aaron Jordan Fernandez, M.D.
• Ana Laura Fernandez, RN
• Cathy A Fernandez, FNPC
• Ernesto M Fernandez, MD
• Mariel Cremonie Fernandez, BCBA
• Melissa Elena Fernandez
• Pedro J Fernandez, MD
• Priscilla Fernandez, RD,LD
• Sharon R. Fernandez, M.D.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.