Individual provider Active NPI

Patricia Jean Hernandez, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1538824206
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58171 Issued in TX
Practice address
3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Phone
(512) 777-2591
Fax
(512) 215-6654
NPI assigned
Nov 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 58171 TX Primary

Addresses

Primary practice location

3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590

Mailing address

PO Box 2841
San Juan, TX 78589-7841
Phone (956) 501-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123001875 TX Practitioner - Clinical Social Worker 7719376201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Continuity Mental Health PLLCGroup PAC ID 1557899556, 11 clinicians

Practice addresses (Care Compare)

539 W Commerce St
Dallas, TX 75208-1953
Phone (469) 678-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58171TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Continuity Mental Health, PLLC Clinical CurrentSince Nov 7, 2024 Accepting new patients
Kotel Atx PLLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

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, 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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1538824206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2841",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785897841",
            "telephone_number": "956-501-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "512-777-2591",
            "fax_number": "512-215-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.