Individual provider Active NPI

Bernardo Hiraldo, LCSW

  • Clinical Social Worker
  • Hamilton, NJ
National Provider Identifier
1043362148
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05454000 Issued in NJ
Practice address
2137 Route 33
Suite 3
Hamilton, NJ 08690-1740
Phone
(718) 314-7560
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05454000 NJ Primary

Addresses

Primary practice location

2137 Route 33
Suite 3
Hamilton, NJ 08690-1740

Mailing address

107 Highland Ave
Hamilton, NJ 08620-2908
Phone (718) 314-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1043362148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086202908",
            "telephone_number": "718-314-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 ROUTE 33",
            "address_2": "SUITE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901740",
            "telephone_number": "718-314-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRALDO",
        "first_name": "BERNARDO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05454000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.