| Mr Anthony Fernandez, LCSW | |
|
6390 E Broadway Blvd, Tucson, AZ 85710-3517 | |
| (520) 284-7949 | |
| Not Available |
| Full Name | Mr Anthony Fernandez |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 6390 E Broadway Blvd, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023181377 | NPI | - | NPPES |
| 926446 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quality Of Life Medical Centers, Llc | 8820988348 | 10 |
| Entity Name | Quality Of Life Medical Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508824855 PECOS PAC ID: 8820988348 Enrollment ID: O20040318000498 |
| Entity Name | Community Intervention Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
| Entity Name | Solace Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023614609 PECOS PAC ID: 4587071493 Enrollment ID: O20210320000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony Fernandez, LCSW 6390 E Broadway Blvd, Tucson, AZ 85710-3517 Ph: (520) 284-7949 | Mr Anthony Fernandez, LCSW 6390 E Broadway Blvd, Tucson, AZ 85710-3517 Ph: (520) 284-7949 |
Elizabeth A Hartung, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3037 W Ina Rd Ste 101, Tucson, AZ 85741 Phone: 520-353-3137 Fax: 520-353-3137 | |
Margo Linda Harrison Passarella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 W 29th St, Tucson, AZ 85713 Phone: 520-838-3886 | |
Mr. Ronald Edward Copeland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Pima St, Tucson, AZ 85712 Phone: 520-326-6182 | |
Michael Katz, LCSW, CCTP, BHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745 Phone: 602-545-3714 | |
Allyson Cushing, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Church Ave Ste 1200, Tucson, AZ 85701 Phone: 630-410-9578 | |
Ms. Margaret T Forgey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4533 E Cooper St, Tucson, AZ 85711 Phone: 520-207-4823 Fax: 520-327-6724 | |
Miss Lori Elizabeth Groenewold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 N Wyatt Dr, Tucson, AZ 85712 Phone: 520-324-2289 Fax: 520-324-3117 |