Individual provider Active NPI

Nadia Arce-Fernandez, MSW

  • Clinical Social Worker
  • San Lorenzo, CA
National Provider Identifier
1851688444
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 29202 Issued in CA
Practice address
50 E Lewelling Blvd
San Lorenzo, CA 94580-1732
Phone
(510) 317-3167
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 27112 CA
Clinical Social Worker 1041C0700X LCSW 29202 CA Primary

Addresses

Primary practice location

50 E Lewelling Blvd
San Lorenzo, CA 94580-1732

Mailing address

50 E Lewelling Blvd
San Lorenzo, CA 94580-1732
Phone (510) 317-3167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 27112CAMDClinical Social Worker
LCSW 29202CAMDClinical Social Worker
29202CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1851688444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E LEWELLING BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801732",
            "telephone_number": "510-317-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E LEWELLING BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801732",
            "telephone_number": "510-317-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE-FERNANDEZ",
        "first_name": "NADIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 27112",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 29202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, CA

Sources for this page

Verify at the official NPI Registry.