Individual provider Active NPI

Louis Alonso Hernandez, LCSW

  • Clinical Social Worker
  • Simi Valley, CA
National Provider Identifier
1548148380
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
133281 Issued in CA
Practice address
876 Appleton Rd
Simi Valley, CA 93065-5115
Phone
(818) 610-9458
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 133281 CA Primary

Addresses

Primary practice location

876 Appleton Rd
Simi Valley, CA 93065-5115

Mailing address

876 Appleton Rd
Simi Valley, CA 93065-5115
Phone (818) 610-9458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250917001053 CA Practitioner - Clinical Social Worker 1850895517 Reassigns benefits to 1 organization
I20260403002680 AZ Practitioner - Clinical Social Worker 1850895517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1535 E Colorado St
Glendale, CA 91205-1513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133281CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Sep 3, 2025 Accepting new patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Sep 3, 2025 Accepting new patients

Locations

8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1535 E Colorado St
Glendale, CA 91205

4137 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 256-5800

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1548148380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 APPLETON RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655115",
            "telephone_number": "818-610-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 APPLETON RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655115",
            "telephone_number": "818-610-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LOUIS",
        "middle_name": "ALONSO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.