Individual provider Active NPI

Daniel Hernandez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1649265075
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110802 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
110802CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Todos Para la Salud CurrentSince Sep 16, 2023 Accepting new patients
Todos Para la Salud Current Accepting new patients
Fort Worth Healthcare Systems LLC CurrentSince Jun 24, 2004 Accepting new patients
Todos Para la Salud CurrentSince Sep 16, 2023 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. PastSince Jan 8, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.