Provider Demographics
NPI:1003048422
Name:FERNANDEZ, NORYS T (LCSW, MSW, SAP,NBCCH)
Entity Type:Individual
Prefix:MS
First Name:NORYS
Middle Name:T
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:LCSW, MSW, SAP,NBCCH
Other - Prefix:MS
Other - First Name:NORYS
Other - Middle Name:T
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MSW, SAP,NBCCH
Mailing Address - Street 1:9055 SW 73RD CT APT 1003
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2952
Mailing Address - Country:US
Mailing Address - Phone:305-669-3835
Mailing Address - Fax:
Practice Address - Street 1:7550 SW 57TH AVE STE 112
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5331
Practice Address - Country:US
Practice Address - Phone:305-669-3835
Practice Address - Fax:305-669-3875
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 93711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical