Dr Maritza Fernandez, LCSW-R, CASAC is a
Social Worker - Clinical based in Bronx, New York. Dr Maritza Fernandez is licensed to practice in New York (license number 078470) and her current practice location is
1065 Southern Blvd, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 589-2440.
NPI number for Dr Maritza Fernandez is 1154633030 and her current mailing address is 1065 Southern Blvd, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154633030.
Healthcare Provider's Profile
| Full Name | Dr Maritza Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1065 Southern Blvd, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154633030
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 05/11/2023
Medical Identifiers
Medical identifiers for Dr Maritza Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154633030 | NPI | - | NPPES |
| 078470 | Other | NY | LICENSE |
| 19671 | Other | NY | CREDENTIAL |
| 04029058 | Medicaid | NY | |
| 10308 | Other | FL | LICENSE |
| 3233 | Other | FL | CREDENTIAL |
| A400111965 | Other | NY | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19671 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10308 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 078470 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maritza Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maritza Fernandez, LCSW-R, CASAC
1065 Southern Blvd,
Bronx, NY 10459-2417
Ph: (718) 589-2440 | Dr Maritza Fernandez, LCSW-R, CASAC
1065 Southern Blvd,
Bronx, NY 10459-2417
Ph: (718) 589-2440 |
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