Active NPI
Brenda Darlene Hernandez, LSCSW
- Clinical Social Worker
- Dodge City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06586
- Practice address
- 2020 Central Ave
Dodge City, KS 67801-6411 - Phone
- (620) 227-9797
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00919 | KS | |
| Clinical Social Worker | 1041C0700X | 06586 | KS | Primary |
Addresses
Primary practice location
2020 Central Ave
Dodge City, KS 67801-6411
Mailing address
PO Box 766
Garden City, KS 67846-0766
Phone (620) 271-7400
Other practice location 1
1700 Avenue F
Dodge City, KS 67801-4541
Phone (620) 225-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00919 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 06586 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Current | Accepting new patients | |
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Current | Accepting new patients |
Locations
1700 Avenue F
Dodge City, KS 67801
Phone (620) 225-6821
2020 Central Ave
Dodge City, KS 67801
Phone (620) 227-1371
712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Genesis Family Health
- Family Medicine Physician
- Garden City, KS
- NPI 1104072487
-
dba Genesis Family Health
- Federally Qualified Health Center (FQHC)
- Dodge City, KS
- NPI 1275337982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1669133252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 766",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678460766",
"telephone_number": "620-271-7400",
"fax_number": "620-708-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CENTRAL AVE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678016411",
"telephone_number": "620-227-9797"
}
],
"practiceLocations": [
{
"address_1": "1700 Avenue F",
"address_purpose": "LOCATION",
"city": "Dodge City",
"state": "KS",
"postal_code": "678014541",
"country_code": "US",
"telephone_number": "620-225-6821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "BRENDA",
"middle_name": "DARLENE",
"name_prefix": "Miss",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "00919",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.