Carl Hernandez, DBH

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-13087 Issued in AZ

Practice address

1176 E Warner Rd Ste 216
Gilbert, AZ 85296-3069

Phone

(480) 200-4000

NPI assigned

Jun 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1487278727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E WESTCHESTER DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494684",
            "telephone_number": "480-200-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 E WARNER RD STE 216",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963069",
            "telephone_number": "480-200-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DBH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.patrickhernandez@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1176 E Warner Rd Ste 216",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852963069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Hernandez Pineda
• Sylvania Hernandez-Latog, FNP-C
• Maria Jose Hernandez-Moraga
• Ashley Hernandez
• Breanna Hernandez
• Georg Hernandez, M.D.
• Haley Rae Hernandez
• Jayd Ashley Hernandez
• Julio Hernandez, MD
• Kirsten Hernandez, LCSW

• Social Worker in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.