Kimberly Fernandez Iraheta, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW126833 Issued in CA

Practice address

222 W 6TH St Ste 230
San Pedro, CA 90731-3332

Phone

(310) 833-3135

Fax

(310) 707-2877

NPI assigned

Nov 26, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Guidance Center

  • Community/Behavioral Health Agency
  • San Pedro, CA
  • NPI 1174654156
  NPD (past)

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1811713530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 230",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313332",
            "telephone_number": "310-833-3135",
            "fax_number": "310-707-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 230",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313332",
            "telephone_number": "310-833-3135",
            "fax_number": "310-707-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ IRAHETA",
        "first_name": "KIMBERLY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW126833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Feit, DPM, INC
• David Emil Feldman, M.D.
• Matthew Fenn
• Tad Fennar, DPM
• Cameron Michael Fenton, AMFT
• Julie Christine Fernandez, M.S.
• Ruth Louise Fesmire, MS, MFT
• Sharon Marie Fetz, MFT
• Stephanie Marie Fiamengo, MA, LMFT
• Karen Diane Figgins, C.P.R.P

• All providers in San Pedro, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.