Irvin Camarillo Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9846-M Issued in NV

Practice address

7390 W Sahara Ave Ste 240
Las Vegas, NV 89117-2764

Phone

(702) 305-0234

NPI assigned

Jul 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mytelemdusa LLCGroup PAC ID 9234528829, 6 clinicians

Safe Harbor Medical, Inc.Group PAC ID 6204903792, 8 clinicians

Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 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.

• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1225280969
  Medicare reassignment Care Compare group NPD
• Safe Harbor Medical, Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1821290115
  Medicare reassignment Care Compare group NPD
• Mytelemdusa LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1831783141
  Medicare reassignment Care Compare group
• Insight Therapy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1639414279

  Clinical

  Medicare reassignment NPD
• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258
  Medicare reassignment
• Safe Harbor Medical, Inc.

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
  • NPI 1083327456
  NPD
• Insight Medical Clinicians PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1003633603

  Clinical

  NPD
• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1013615079
  NPD (past)

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1194396697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172764",
            "telephone_number": "702-305-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IRVIN",
        "middle_name": "CAMARILLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9846-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Hernandez
• Guadalupe Hernandez
• Gustavo Hernandez, D.M.D.
• Helena Hernandez
• Hortencia Hernandez
• Isabela Hernandez
• Isis Hernandez
• Ivana Giselle Hernandez
• Jacob Gallegos Hernandez Jr.
• Jacqueline Hernandez

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.