Judy Fernandez | Mount Vernon, NY • PECOS Search

Judy Fernandez

Social Worker

Behavioral Health & Social Service Providers

46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306

PECOS Enrollment

Based on the most recent information from CMS, provider Judy Fernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1679826390
Provider Type
Individual
Full Name
Fernandez, Judy
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/18/2012
Last Updated
3/7/2022

Contact Information

Practice Location

46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306

Unlisted Fax

Mailing Location

46 Gramatan Ave # 1077, Mount Vernon, NY 10550-1306

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 091847 New York