NPI 1013443522

Robert Anthony Fernandez, LMSW

Practitioner Clinical Social Worker Traverse City, MI

Practice location

Address: 954 Business Park Dr, Traverse City, MI 49686-8763
Phone: (231) 590-3411
Mailing address: 125 Dubonnet Trl, Interlochen, MI 49643-9685

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801089687 (MI)

Other Social Worker providers in Michigan →

Registry record

NPI: 1013443522
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2017
Record last updated: 3 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.