Individual provider Active NPI

Jan Marie Hernandez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1609801240
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38615 Issued in TX
Practice address
7526 Louis Pasteur Dr RM 318
San Antonio, TX 78229-4001
Phone
(210) 450-6440
Fax
(210) 450-2104
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 38615 TX Primary

Addresses

Primary practice location

7526 Louis Pasteur Dr RM 318
San Antonio, TX 78229-4001

Mailing address

7526 Louis Pasteur Dr RM 318
San Antonio, TX 78229-4001
Phone (210) 450-6440

Other practice location 1

8535 Tom Slick
San Antonio, TX 78229-3367
Phone (210) 616-0300

Other practice location 2

10431 State Highway 151
San Antonio, TX 78251-4551
Phone (210) 616-0300

Other practice location 3

8231 Fredericksburg Rd
San Antonio, TX 78229-3356
Phone (210) 584-7819

Other identifiers 2

IdentifierTypeStateIssuer
187105501MedicaidTX
187105502MedicaidTX

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
I20040719001063 TX Practitioner - Clinical Social Worker 2466431770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1609801240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 LOUIS PASTEUR DR RM 318",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294001",
            "telephone_number": "210-450-6440",
            "fax_number": "210-450-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 LOUIS PASTEUR DR RM 318",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294001",
            "telephone_number": "210-450-6440",
            "fax_number": "210-450-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8535 Tom Slick",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293367",
            "country_code": "US",
            "telephone_number": "210-616-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10431 State Highway 151",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514551",
            "country_code": "US",
            "telephone_number": "210-616-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8231 Fredericksburg Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293356",
            "country_code": "US",
            "telephone_number": "210-584-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187105501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187105502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.