Individual provider Active NPI

Melissa Abigail Hernandez, LCSW

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1669941167
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone
(954) 646-6646
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 Primary

Addresses

Primary practice location

1701 N George Mason Dr
Arlington, VA 22205-3610

Mailing address

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

Other practice location 1

2120 Washington Blvd
Arlington, VA 22204-5718
Phone (703) 228-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20181213002186 DC Practitioner - Clinical Social Worker 8123363504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Dec 18, 2023 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Dec 18, 2023 Accepting new patients

Locations

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1669941167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-558-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "954-646-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222045718",
            "country_code": "US",
            "telephone_number": "703-228-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MELISSA",
        "middle_name": "ABIGAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.