Nidia Hernandez, LCSW, MSW, MPA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW75042 Issued in CA

Practice address

8700 Pershing Dr Unit 5103
Playa del Rey, CA 90293-8018

Phone

(818) 378-8132

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nidia Hernandez, Licensed Clinical Social Worker, Inc.,

  • Clinical Social Worker
  • Playa del Rey, CA
  • NPI 1487378725
  NPD Authorized official
• Silver Lake Psychology Inc.

  • Psychologist
  • Los Angeles, CA
  • NPI 1932651817
  Medicare reassignment

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1578828919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PERSHING DR UNIT 5103",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938018",
            "telephone_number": "818-378-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PERSHING DR UNIT 5103",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938018",
            "telephone_number": "818-378-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NIDIA",
        "credential": "LCSW, MSW, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW33935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixon Griffin
• Julie Grimmett, M.S. CCC-SLP
• Jerome Alan Guttman, D.D.S.
• Douglas Hales, LMFT
• Joshua Jay Hawkins, DPT
• Kim Higley, RD
• Brandon Charles Hockaday
• Nicole Houston, DDS
• Ted Mathew Howard, MA, AMFT
• Anna Lisa Huff, LMT

• Clinical Social Worker in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.