Elizabeth E M Hernandez, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW 2085 Issued in KS

Practice address

200 Maine St Ste a
Bert Nash Community Mental Health Center
Lawrence, KS 66044-1396

Phone

(785) 843-9192

Fax

(785) 843-9192

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bert Nash Community Mental Health Center IncGroup PAC ID 5799693834, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bert Nash Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841281805
  Medicare reassignment Care Compare group NPD
• High Plains Mental Health Center

  • Non-emergency Medical Transport (VAN)
  • Hays, KS
  • NPI 1053438747
  NPD (past)
• High Plains Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hays, KS
  • NPI 1790803609
  NPD (past)
• High Plains Mental Health Center

  • Community/Behavioral Health Agency
  • Hays, KS
  • NPI 1871226944
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1184789596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 W 5TH ST",
            "address_2": "APT 3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444638",
            "telephone_number": "785-304-9121",
            "fax_number": "785-304-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "address_2": "BERT NASH COMMUNITY MENTAL HEALTH CENTER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "E M",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "069328HE",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200430750B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• India Anne Herman
• Jeffery L Herman, CRNA
• Barbara Hermreck, RD, LD, CNSD
• Annicka G Hernandez
• Cassilyn Hernandez
• Loraine Herndon, LSCSW
• Emily Nicole Heronemus, DO
• Jonathan Mark Herrera-Thomas, LMSW
• David M. Herrera, D.C.
• Paul David Herrera, DDS

• Clinical Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.

Verify at the official NPI Registry.