Individual provider Active NPI

Victoria Silvia Hernandez, LCSW

  • Clinical Social Worker
  • Marysville, CA
National Provider Identifier
1467124248
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122016 Issued in CA
Practice address
500 Olive St
Marysville, CA 95901-5637
Phone
(530) 565-6444
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122016 CA Primary

Addresses

Primary practice location

500 Olive St
Marysville, CA 95901-5637

Mailing address

1445 Butte House Rd Ste J
Yuba City, CA 95993-2749
Phone (530) 565-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000850 CA Practitioner - Clinical Social Worker 6002341542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Tribal Health Inc CurrentSince Oct 21, 2024 Accepting new patients

Locations

2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793

555 W Onstott Rd
Yuba City, CA 95993
Phone (530) 751-8454

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1467124248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUTTE HOUSE RD STE J",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932749",
            "telephone_number": "530-565-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLIVE ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015637",
            "telephone_number": "530-565-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VICTORIA",
        "middle_name": "SILVIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.