Individual provider Active NPI

Elisabeth Reyes-Hernandez, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1518338045
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091937 Issued in NY
Practice address
487 S Broadway
Yonkers, NY 10705-3269
Phone
(914) 595-0041
NPI assigned
Oct 9, 2015
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 091937 NY Primary

Addresses

Primary practice location

487 S Broadway
Yonkers, NY 10705-3269

Mailing address

489 S Broadway
C/O WJCS BBB Program
Yonkers, NY 10705-3252
Phone (914) 595-0041

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
091937NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1518338045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 S BROADWAY",
            "address_2": "C/O WJCS BBB PROGRAM",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053252",
            "telephone_number": "914-595-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053269",
            "telephone_number": "914-595-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-HERNANDEZ",
        "first_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.