NPIMap

Organization Active NPI

Erica L Hernandez, LCSW, LLC

Doing business as Erica L Freeman, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1538649074
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3688 Issued in OR
Legal business name
ERICA L HERNANDEZ, LCSW, LLC
Doing business as
Erica L Freeman, LCSW
Practice address
1400 High St Ste C1
Eugene, OR 97401-4192
Phone
(541) 345-7010
Fax
(541) 343-1044
NPI assigned
Aug 15, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Mrs. Erica L Hernandez, LCSWNPI 1265584239
Title
Owner/Psychotherapist
Phone
(541) 345-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3688 OR Primary

Addresses

Primary practice location

1400 High St Ste C1
Eugene, OR 97401-4192

Mailing address

1400 High St Ste C1
Eugene, OR 97401-4192
Phone (541) 345-7010

Other identifiers 1

IdentifierTypeStateIssuer
50060860MedicaidOR

Other names 1

  • Erica L Freeman, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

1400 High St
Ste C1
Eugene, OR 97401
Phone (541) 345-7010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1538649074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HIGH ST STE C1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014192",
            "telephone_number": "541-345-7010",
            "fax_number": "541-343-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGH ST STE C1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014192",
            "telephone_number": "541-345-7010",
            "fax_number": "541-343-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA L HERNANDEZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "541-345-7010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50060860",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erica L Freeman, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erica L Freeman, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.