Active NPI
Brittany Hernandez, LCSW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1457897316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10812
- Practice address
- 1100 S Main St Ste 201
Las Cruces, NM 88005-2953 - Phone
- (575) 286-0897
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-10812 | NM | Primary |
Addresses
Primary practice location
1100 S Main St Ste 201
Las Cruces, NM 88005-2953
Mailing address
1100 S Main St Ste 201
Las Cruces, NM 88005-2953
Phone (806) 236-4376
Other names 1
- Brittany Miera
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 |
|---|---|---|---|
| C-10812 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Life Psychotherapy | Current | Accepting new patients |
Locations
1100 S Main St
Ste 201
Las Cruces, NM 88005
Phone (575) 286-0897
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Cruces, NM
- NPI 1497454532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1457897316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S MAIN ST STE 201",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052953",
"telephone_number": "806-236-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MAIN ST STE 201",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052953",
"telephone_number": "575-286-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "BRITTANY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "MIERA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.