Individual provider Active NPI

Vince Hernandez, LCSW

  • Clinical Social Worker
  • Porterville, CA
National Provider Identifier
1063683050
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17938 Issued in CA
Practice address
380 N Reservation Rd
Porterville, CA 93257-9673
Phone
(559) 784-2316
Fax
(559) 791-2533
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 LCS17938 CA Primary

Addresses

Primary practice location

380 N Reservation Rd
Porterville, CA 93257-9673

Mailing address

PO Box 768
380 N Reservation Rd
Porterville, CA 93558-0768
Phone (559) 784-2316

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

State licenses

LicenseStateTypeSpecialty
LCS17938CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: vincent.hernandez.p1@direct.altura.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1063683050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "address_2": "380 N RESERVATION RD",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "935580768",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N RESERVATION RD",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579673",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VINCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.