NPIMap

Organization Active NPI

Nidia Hernandez, Licensed Clinical Social Worker, Inc.,

  • Clinical Social Worker
  • Playa del Rey, CA
National Provider Identifier
1487378725
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NIDIA HERNANDEZ, LICENSED CLINICAL SOCIAL WORKER, INC.,
Practice address
8700 Pershing Dr Unit 5103
Playa del Rey, CA 90293-8018
Phone
(818) 378-8132
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Nidia Hernandez, LCSW, MSW, MPANPI 1578828919
Title
Ceo, Director
Phone
(818) 378-8132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

8700 Pershing Dr Unit 5103
Playa del Rey, CA 90293-8018

Mailing address

8700 Pershing Dr Unit 5103
Playa del Rey, CA 90293-8018
Phone (818) 378-8132

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nidia@nhernandezlcsw.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1487378725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PERSHING DR UNIT 5103",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938018",
            "telephone_number": "818-378-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PERSHING DR UNIT 5103",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938018",
            "telephone_number": "818-378-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDIA HERNANDEZ, LICENSED CLINICAL SOCIAL WORKER, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "CEO, DIRECTOR",
        "authorized_official_telephone_number": "818-378-8132",
        "authorized_official_credential": "LCSW, MSW, MPA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nidia@nhernandezlcsw.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none applicable",
            "address_1": "8700 Pershing Dr Unit 5103",
            "city": "Playa Del Rey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902938018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.