National Provider Identifier

Audrey Nahdine Fernandez-Fraser, LCSW

Audrey Nahdine Fernandez-Fraser, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ovid, NY and a listed phone number of (617) 347-5238.

NPI 1841715968Ovid, NYClinical Social Worker

Profile Overview

NPI
1841715968
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 09, 2017
Last Updated
November 08, 2023

Practice Location

  • 7035 State Route 89
  • Ovid, NY 14521-9606

Phone: (617) 347-5238

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1841715968
Entity Type
Individual
Last Name
Fernandez-Fraser
First Name
Audrey
Middle Name
Nahdine
Credential
LCSW
Mailing Street Address
7035 State Route 89
Mailing City
Ovid
Mailing State
NY
Mailing ZIP Code
14521-9606
Mailing Country
US
Practice Street Address
7035 State Route 89
Practice City
Ovid
Practice State
NY
Practice ZIP Code
14521-9606
Practice Country
US
Practice Phone
(617) 347-5238
Enumeration Date
August 09, 2017
Last Updated
November 08, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)