Provider Demographics
NPI:1023635620
Name:FERNANDEZ, APRIL MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 GIBRALTAR DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2135
Mailing Address - Country:US
Mailing Address - Phone:951-567-3409
Mailing Address - Fax:
Practice Address - Street 1:3248 GIBRALTAR DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2135
Practice Address - Country:US
Practice Address - Phone:951-567-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA948961041C0700X
CALCSW948961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical