Provider Demographics
NPI:1053955286
Name:HERNANDEZ, FERNANDO I (MSW)
Entity type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:
Last Name:HERNANDEZ
Suffix:I
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 GARCES HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3607
Mailing Address - Country:US
Mailing Address - Phone:661-725-4780
Mailing Address - Fax:661-725-1048
Practice Address - Street 1:1508 GARCES HWY STE 1
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3607
Practice Address - Country:US
Practice Address - Phone:661-725-4780
Practice Address - Fax:661-725-1048
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CALCSW1093141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health