Active NPI
Victoria Ann Fernandez, LMSW
- Community/Behavioral Health Agency
- Clinton Township, MI
National Provider Identifier
1851427223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801071796
- Practice address
- 44658 Bayview Ave
#10105
Clinton Township, MI 48038-7024 - Phone
- (586) 907-0069
- Fax
- (586) 948-0213
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801071796 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801071796 | MI |
Addresses
Primary practice location
44658 Bayview Ave
#10105
Clinton Township, MI 48038-7024
Mailing address
44658 Bayview Ave
#10105
Clinton Township, MI 48038-7024
Phone (586) 907-0069
Other names 1
- Ms. Victoria Ann Moresi
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071796 | MI | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1851427223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44658 BAYVIEW AVE",
"address_2": "#10105",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387024",
"telephone_number": "586-907-0069",
"fax_number": "586-948-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44658 BAYVIEW AVE",
"address_2": "#10105",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387024",
"telephone_number": "586-907-0069",
"fax_number": "586-948-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801071796",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "MORESI",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.