Active NPI
Lizbeth Antonio Hernandez, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1326372012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW72276
- Practice address
- 11303 W Washington Blvd
Ste 200
Los Angeles, CA 90066-6003 - Phone
- (310) 482-3215
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | LCSW72276 | CA | Primary |
Addresses
Primary practice location
11303 W Washington Blvd
Ste 200
Los Angeles, CA 90066-6003
Mailing address
11303 W Washington Blvd
Ste 200
Los Angeles, CA 90066-6003
Phone (310) 482-3215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW72276 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1326372012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11303 W WASHINGTON BLVD",
"address_2": "STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666003",
"telephone_number": "310-482-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 W WASHINGTON BLVD",
"address_2": "STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666003",
"telephone_number": "310-482-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIO HERNANDEZ",
"first_name": "LIZBETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW72276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.