Individual provider Active NPI

Felipe Hernandez, LCSW

  • Clinical Social Worker
  • Wethersfield, CT
National Provider Identifier
1619257862
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4371 Issued in CT
Practice address
55 Town Line Rd Ste 101
Wethersfield, CT 06109-4317
Phone
(860) 757-3702
Fax
(860) 471-8255
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 4371 CT Primary

Addresses

Primary practice location

55 Town Line Rd Ste 101
Wethersfield, CT 06109-4317

Mailing address

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120913000338 CT Practitioner - Clinical Social Worker 6406004639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Current Accepting new patients
Step Up Care PC LLC CurrentSince May 18, 2021 Accepting new patients
Intercommunity, Inc. CurrentSince Dec 7, 2020 Accepting new patients
Comprehensive Psychological & Assessment Services LLC Clinical PastSince Jul 26, 2012 Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

Interoperability endpoints

  • Direct secure messaging: felipe.hernandez.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 4

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1619257862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7559",
            "fax_number": "860-550-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD STE 101",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094317",
            "telephone_number": "860-757-3702",
            "fax_number": "860-471-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FELIPE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.