Individual provider Active NPI

Cynthia Denise Hernandez, MSW

  • Clinical Social Worker
  • Ferrum, VA
National Provider Identifier
1235376500
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
180 Ferrum Mountain Rd
Ferrum, VA 24088-2939
Phone
(540) 365-4469
Fax
(540) 365-4272
NPI assigned
Jan 8, 2009
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 25495 CA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

180 Ferrum Mountain Rd
Ferrum, VA 24088-2939

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-2292

Other practice location 1

140 Christiansburg Pike NE
Floyd, VA 24091-3742
Phone (540) 745-9290

Other identifiers 1

IdentifierTypeStateIssuer
1053442848MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Notapplicable
CONNECT URL Notapplicable

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25495CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1235376500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FERRUM MOUNTAIN RD",
            "city": "FERRUM",
            "state": "VA",
            "postal_code": "240882939",
            "telephone_number": "540-365-4469",
            "fax_number": "540-365-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "fax_number": "540-745-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CYNTHIA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "25495",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053442848",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Notapplicable",
            "affiliation": "N",
            "address_1": "180 Ferrum Mountain Rd",
            "city": "Ferrum",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240882939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Notapplicable",
            "affiliation": "N",
            "address_1": "140 Christiansburg Pike NE",
            "city": "Floyd",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240913742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ferrum, VA

Sources for this page

Verify at the official NPI Registry.