Organization Active NPI

Elaina Hernandez, LCSW, PLLC

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1407554777
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELAINA HERNANDEZ, LCSW, PLLC
Practice address
1140 Kildaire Farm Rd Ste 200-5
Cary, NC 27511-4562
Phone
(919) 386-9852
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Elaina J Hernandez, LCSWNPI 1972818771
Title
Practice Owner/Psychotherapist
Phone
(919) 386-9852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1140 Kildaire Farm Rd Ste 200-5
Cary, NC 27511-4562

Mailing address

4007 Carolina Lily St
Cary, NC 27519-6711
Phone (646) 548-6398

National Provider Directory

National Provider Directory

Locations

1140 Kildaire Farm Rd
Ste 2005
Cary, NC 27511
Phone (919) 386-9852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1407554777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CAROLINA LILY ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196711",
            "telephone_number": "646-548-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 200-5",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114562",
            "telephone_number": "919-386-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINA HERNANDEZ, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-386-9852",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.