Nicole Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6735-123 Issued in WI

Practice address

211 N Commercial St
Neenah, WI 54956-2616

Phone

(920) 236-4600

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Winnebago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oshkosh, WI
  • NPI 1508960675
  NPD (past)
• Winnebago County

  • Public Health or Welfare Agency
  • Winnebago, WI
  • NPI 1154318657
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1407916323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2187",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032187",
            "telephone_number": "920-236-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562616",
            "telephone_number": "920-236-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6735-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42139300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42156000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Grace Hermans, OTR
• Mark G Hermans, MD
• Dacia L Hermes, NP
• Mona S Hermina, MD
• Valeria Hernandez Olivares, RN
• Christina Marie Herrick, COTA
• Viriginia Moloney Heus
• Melissa Christine Hewitt, PTA, NMT
• Trista A Hietpas, PT
• Daniel J Higgins, MD

• Clinical Social Worker in Neenah, WI
• Providers in Neenah, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.