Individual provider Active NPI

Hilda R Hernandez, LCSW

  • Social Worker
  • Valley Stream, NY
National Provider Identifier
1164687380
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
RO49291-1 Issued in NY
Practice address
248 Hillside Ave
248 North Hillside Ave-PH
Valley Stream, NY 11580-2517
Phone
(516) 872-1251
NPI assigned
Jul 28, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X RO49291-1 NY Primary

Addresses

Primary practice location

248 Hillside Ave
248 North Hillside Ave-PH
Valley Stream, NY 11580-2517

Mailing address

248 Hillside Ave
248 North Hillside Ave-PH
Valley Stream, NY 11580-2517
Phone (516) 872-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20090428000004 NY Practitioner - Clinical Social Worker 2668520859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO49291-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Association for Services for the Aged CurrentSince Dec 14, 2020 Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients

Locations

910 E 172nd St
Bronx, NY 10460
Phone (347) 767-2200

910 E 172nd St
Fl 1
Bronx, NY 10460

247 W 37th St
Fl 9
New York, NY 10018
Phone (212) 273-5200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1164687380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 HILLSIDE AVE",
            "address_2": "248 NORTH HILLSIDE AVE-PH",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802517",
            "telephone_number": "516-872-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 HILLSIDE AVE",
            "address_2": "248 NORTH HILLSIDE AVE-PH",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802517",
            "telephone_number": "516-872-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "HILDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO49291-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.