Active NPI
Daniel Hernandez, LCSW
- Clinical Social Worker
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110802
- Practice address
- 7103 W Beverly Mae Dr
San Antonio, TX 78229-4943 - Phone
- (210) 789-3487
- NPI assigned
- Sep 12, 2005
- Last updated
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 32412 | TX | |
| Clinical Social Worker | 1041C0700X | 110802 | CA | Primary |
Addresses
Primary practice location
7103 W Beverly Mae Dr
San Antonio, TX 78229-4943
Mailing address
7103 W Beverly Mae Dr
San Antonio, TX 78229-4943
Phone (210) 843-5401
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231114002521 | CA | Practitioner - Clinical Social Worker | 9739164518 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110802 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todos Para la Salud | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients | |
| Fort Worth Healthcare Systems LLC | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients | |
| Bexar County Healthcare Systems | Past | Accepting new patients | |
| A Medical Advantage Healthcare Systems Associated | Past | Accepting new patients | |
| The Sarah Elaine Wellness Center of South Texas, Inc. | Past | Accepting new patients | |
| Ennis Healthcare Systems Inc | Past | Accepting new patients |
Locations
4420 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 231-5366
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
1051 Haskell St
Ste 200
Ft Worth, TX 76107
Phone (817) 377-4011
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCGBCD
Organizations & group practices 8
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.
-
- Clinic/Center
- Fresno, CA
- NPI 1184164873
-
- Voluntary or Charitable Agency
- San Antonio, TX
- NPI 1689965287
-
- Chiropractor
- Fort Worth, TX
- NPI 1376595348
-
- Family Medicine Physician
- Fresno, CA
- NPI 1073321543
-
- Primary Care Clinic/Center
- Fresno, CA
- NPI 1740625235
-
- Family Medicine Physician
- Dallas, TX
- NPI 1477505592
-
- Social Worker
- San Antonio, TX
- NPI 1124070248
-
- Chiropractor
- Ennis, TX
- NPI 1881646941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1649265075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7103 W BEVERLY MAE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294943",
"telephone_number": "210-843-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7103 W BEVERLY MAE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294943",
"telephone_number": "210-789-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2023-01-06",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "32412",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.