Elizabeth Hernandez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071681 Issued in NY

Practice address

285 Vanderbilt Ave
Staten Island, NY 10304-2525

Phone

(718) 981-4382

Fax

(718) 981-2054

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Hernandez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1457676504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 VANDERBILT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042525",
            "telephone_number": "718-981-4382",
            "fax_number": "718-981-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 VANDERBILT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042525",
            "telephone_number": "718-981-4382",
            "fax_number": "718-981-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HERNANDEZ",
            "credential": "LMSW, CASAC, ICADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Catherine Hernandez, LCSW
• Daniel Jonah Hernandez, ATS
• Daniela Hernandez
• Dayanira C Hernandez, L.C.S.W.
• Debora A Hernandez I, LMSW
• Gwendolyn Hernandez, FNP, DNP
• Jadriane Michelle Hernandez, OTR/L
• Jennifer Hernandez, LPN
• Joanne Lizbeth Hernandez, LCSW
• Joseph William Hernandez, CASAC-T

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.