William Randolph Herman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2491 Issued in FL

Practice address

108 Esther St
New Smyrna Beach, FL 32169-2516

Phone

(386) 402-4357

NPI assigned

Jul 29, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1013392182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ESTHER ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692516",
            "telephone_number": "386-402-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ESTHER ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692516",
            "telephone_number": "386-402-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2491",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW 9577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Suzanne Hedderich, M.D.
• Brianna Hennen
• Bruce Henry, MD
• Jennifer Lee Henry, D.C.
• George Fredrick Herdel III, M.D.
• Lafe Hernandez, DC
• Ilze Hicks, M.D.
• Highland Medical Center Inc
• Tami M Hill, PMHNP-BC
• Tiffany Renee Hill, APRN

• Clinical Social Worker in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.