Individual provider Active NPI

Soveira Hernandez, LCSW

  • Clinical Social Worker
  • Berlin, NJ
National Provider Identifier
1669041547
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06346900 Issued in NJ
Practice address
130 W White Horse Pike Ste 1B
Berlin, NJ 08009-2028
Phone
(856) 352-5424
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL06423300 NJ
Social Worker 104100000X 44SL06423300 NJ
Clinical Social Worker 1041C0700X 44SC06346900 NJ Primary

Addresses

Primary practice location

130 W White Horse Pike Ste 1B
Berlin, NJ 08009-2028

Mailing address

837 Lusterleaf PL
Wendell, NC 27591-6517
Phone (201) 377-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240924001489 NJ Practitioner - Clinical Social Worker 5395286827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06423300NJMDSocial Worker
44SC06346900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart 2 Heart Services Inc Mental Health CurrentSince May 25, 2021 Accepting new patients
Heart 2 Heart Services Inc Mental Health CurrentSince Sep 10, 2024 Accepting new patients

Locations

130 W White Horse Pike
Ste 1B
Berlin, NJ 08009
Phone (856) 352-5424

Organizations & group practices 2

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1669041547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 LUSTERLEAF PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916517",
            "telephone_number": "201-377-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WHITE HORSE PIKE STE 1B",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092028",
            "telephone_number": "856-352-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SOVEIRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06423300",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06423300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06346900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.