Ismael Hernandez, LSW, CADCI

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-2652 Issued in ID

Practice address

704 Albany St
Caldwell, ID 83605-3501

Phone

(208) 454-5133

Fax

(208) 454-0749

NPI assigned

Sep 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Services Center

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1205109121
  NPD (past)
• Family Services Counseling Center

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1912333238
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1124454814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SPRUCE CREEK DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869716",
            "telephone_number": "208-250-2879",
            "fax_number": "208-454-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ISMAEL",
        "credential": "LSW, CADCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-2652",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CADCI 04-07-19",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Henrie
• Kevin Colin Soran Henson
• Jennifer Herdt
• Heritage Community Charter School
• Harriet Hernandez, NP
• Joel Agado Hernandez, OD
• Jose Alfredo Hernandez, LMSW, QSUDP
• Herrin Chiropractic LLC
• David C Herrin, D.C.
• Whitney M Herter, LCPC

• Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.