Active NPI
Gabriel Hernandez, LMSW
- Social Worker
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801118969
- Practice address
- 483 Century LN
Holland, MI 49423-4286 - Phone
- (616) 610-3874
- NPI assigned
- Jul 13, 2020
- Last updated
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801118969 | MI | Primary |
| Social Worker | 104100000X | 6802090922 | MI | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
483 Century LN
Holland, MI 49423-4286
Mailing address
483 Century LN
Holland, MI 49423-4286
Other practice location 1
170 College Ave Ste 310
Holland, MI 49423-2982
Phone (616) 426-9034 ext. 603
Other practice location 2
719 N Center Dr NW
Walker, MI 49544-8215
Phone (616) 791-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Jenner Dr
Allegan, MI 49010-1517
Phone (269) 673-6617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801118969 | MI | MD | Social Worker |
| 6802090922 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Story Counseling II LLC | Current | Accepting new patients | |
| Reach for Recovery, Inc. | Case Manager/Care Coordinator | Current | Accepting new patients |
| Arbor Circle Corporation | Current | Accepting new patients | |
| Allegan County Community Mental Health Services | Current | Accepting new patients | |
| Allegan County Community Mental Health Services | Current | Accepting new patients | |
| Reach for Recovery, Inc. | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
3285 122nd Ave
Allegan, MI 49010
Phone (269) 673-6617
540 Jenner Dr
Allegan, MI 49010
Phone (269) 673-6617
1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775
1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001
170 College Ave
Ste 310
Holland, MI 49423
Phone (616) 426-9034
483 Century Ln
Holland, MI 49423
Phone (616) 396-5284
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OnPoint
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Allegan, MI
- NPI 1215989231
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1174601512
-
dba Network 180
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1588935068
-
- Primary Care Clinic/Center
- Allegan, MI
- NPI 1528570322
-
- Public Health or Welfare Agency
- Holland, MI
- NPI 1144207200
Case Manager/Care Coordinator
-
- Public Health or Welfare Agency
- Grand Haven, MI
- NPI 1679653810
Case Manager/Care Coordinator
-
- Counselor
- Hudsonville, MI
- NPI 1013460716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1114545423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234286",
"telephone_number": "616-610-3874"
}
],
"practiceLocations": [
{
"address_1": "170 College Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494232982",
"country_code": "US",
"telephone_number": "616-426-9034 x603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 N Center Dr NW",
"address_purpose": "LOCATION",
"city": "Walker",
"state": "MI",
"postal_code": "495448215",
"country_code": "US",
"telephone_number": "616-791-1610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "GABRIEL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801118969",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802090922",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.