Rebecca Hernandez-Campos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4101 Wilmont PL
Fort Myers, FL 33916-8006

Phone

(203) 810-9817

NPI assigned

Dec 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Norwalk Community Health Center Inc

  • Health Service Clinic/Center
  • Norwalk, CT
  • NPI 1841226347

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rebeccacamposlcsw, LLC

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1285393942
  NPD Authorized official

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1053785162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 WILMONT PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168006",
            "telephone_number": "203-810-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WILMONT PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168006",
            "telephone_number": "203-810-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-CAMPOS",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Hernandez Gomez
• Dailyn Hernandez Martinez, ACNPC-AG-BC
• Marbelis Hernandez Ramos, RBT
• Claudia Hernandez Rosales
• Raul F Hernandez Rubio
• Allan Hernandez
• Carmen Amalia Hernandez, PHARMD.
• Carol Hernandez
• Claudia Hernandez, MD
• Elyssa Hernandez

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, 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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.