Ercilia A Hernandez, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009865A Issued in IN

Practice address

2100 N Main St # 304
Crown Point, IN 46307-1877

Phone

(574) 546-1900

Fax

(574) 546-1999

NPI assigned

Oct 23, 2006

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians

My Mobile MD Psychiatric Services LLCGroup PAC ID 9638564750, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

80.07

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Mobile MD Psychiatric Services LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1528712452
  Medicare reassignment Care Compare group NPD
• Illinois Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1952830853

  IN

  Medicare reassignment Care Compare group NPD
• Community Mental Health Center Inc

  dba INcompass Healthcare

  • Psychiatric Hospital
  • Lawrenceburg, IN
  • NPI 1588732747
  Medicare reassignment NPD
• Lifespring, Inc

  dba Southern Indiana Mental Health and Guidance Center of ECI

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  IN

  Medicare reassignment NPD
• Lifespring, Inc

  dba LifeSpring Health Systems

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1326121377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330",
            "telephone_number": "785-273-2252",
            "fax_number": "785-273-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST # 304",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061786",
            "country_code": "US",
            "telephone_number": "785-357-0580",
            "fax_number": "785-233-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ERCILIA",
        "middle_name": "A",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2290",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Henry
• Kristine Hepner, DPT
• Amaya Hernandez
• Anastasia Hernandez, M.ED.
• Candace Hernandez, LCSW
• Gisselle Hernandez
• Pearl Marie Hernandez, OTR/L
• Priscilla Hernandez
• Ulyssa Hernandez
• Briannah Herrera, RBT

• Clinical Social Worker in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.