Provider Demographics
NPI:1881806214
Name:FERNANDEZ, SILVIA MERCEDES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:MERCEDES
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 1:19 OWEN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556
Mailing Address - Country:US
Mailing Address - Phone:540-288-8977
Mailing Address - Fax:
Practice Address - Street 1:385 GARRISONVILLE ROAD
Practice Address - Street 2:SUITE 113
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554
Practice Address - Country:US
Practice Address - Phone:540-065-7122
Practice Address - Fax:540-657-1999
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040065401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical