Jose R Hernandez, ASW
Individual provider Active NPI Clinical Social Worker · Arleta, CA
NPI 1235348012 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1235348012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ASW10975 (CA)
- Practice address
- 8902 Woodman Ave
Arleta, CA 91331-6401 - Phone
- (818) 830-7033
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW10975 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW10975 | CA | Yes |
Addresses
Primary practice location
8902 Woodman Ave
Arleta, CA 91331-6401
Mailing address
8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW10975 | Other | CA | LICENSE |
| FHC70468F | Medicaid | CA |
Other providers in Arleta, CA
- Help Is Here Treatment Center
- Helping Hands Adhc, Inc.
- Helping Hands Adult Day Health Care Center
- Ana Henriquez
- Isai Hernandez
- House of Hope Assisted Living
- Simon M Imanuel
- Jewel of the Valley Medical Recruitment Inc
- Bernardo Jimenez
- Judith Jimenez
All providers in Arleta, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.