Active NPI
Teresa A Hernandez, LCSW
- Clinical Social Worker
- Clarksville, AR
National Provider Identifier
1487715942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2037
- Practice address
- 1021 E Poplar St
Clarksville, AR 72830-4428 - Phone
- (479) 754-8610
- NPI assigned
- Dec 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28317C | AR | |
| Clinical Social Worker | 1041C0700X | 2037 | CO | Primary |
Addresses
Primary practice location
1021 E Poplar St
Clarksville, AR 72830-4428
Mailing address
715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107
Other practice location 1
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 241-6023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1021 E Poplar St
Clarksville, AR 72830-4428
Phone (479) 754-8610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28317C | AR | MD | Clinical Social Worker |
| 2037 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Psychiatry of Colorado | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Russellville, AR
- NPI 1649381120
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Junction, CO
- NPI 1831915958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1487715942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HORIZON DR",
"address_2": "STE 225",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068700",
"telephone_number": "970-683-7107",
"fax_number": "970-683-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304428",
"telephone_number": "479-754-8610"
}
],
"practiceLocations": [
{
"address_1": "515 28 3/4 Rd",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815015016",
"country_code": "US",
"telephone_number": "970-241-6023",
"fax_number": "970-242-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "TERESA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "28317C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "2037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.