Individual provider Active NPI

Stephanie Huddle Hernandez, CSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1104292051
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7185430-3502 Issued in UT
Practice address
1181 Christmas Box LN
Ogden, UT 84404-6401
Phone
(801) 425-0227
NPI assigned
Aug 14, 2015
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 7185430-3502 UT Primary

Addresses

Primary practice location

1181 Christmas Box LN
Ogden, UT 84404-6401

Mailing address

1181 Christmas Box LN
Ogden, UT 84404-6401
Phone (801) 425-0227

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1104292051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 CHRISTMAS BOX LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844046401",
            "telephone_number": "801-425-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 CHRISTMAS BOX LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844046401",
            "telephone_number": "801-425-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLE HERNANDEZ",
        "first_name": "STEPHANIE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7185430-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.