Individual provider Active NPI

Felicia Hermle, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1437584646
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
98948 Issued in CA
Practice address
245 McEvoy St
San Jose, CA 95126-4807
Phone
(408) 337-6473
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A09170315 CA
Clinical Social Worker 1041C0700X 98948 CA Primary

Addresses

Primary practice location

245 McEvoy St
San Jose, CA 95126-4807

Mailing address

4441 Rollingrock Way
Carmichael, CA 95608-1878
Phone (408) 337-6473

Other names 1

  • Felicia Lancaster Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A09170315CAMDAddiction (Substance Use Disorder) Counselor
98948CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Soul Therapy, a Licensed Clinical Social Worker Professional Cor Clinical CurrentSince Mar 24, 2024 Accepting new patients
County of Santa Clara PastSince Jan 5, 2025 Accepting new patients

Locations

245 McEvoy St
San Jose, CA 95126
Phone (408) 337-6473

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1437584646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ROLLINGROCK WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081878",
            "telephone_number": "408-337-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MCEVOY ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264807",
            "telephone_number": "408-337-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMLE",
        "first_name": "FELICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A09170315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "LANCASTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.