Active NPI
Nicole Lee Hernandez, LCSW
- Clinical Social Worker
- Lubbock, TX
National Provider Identifier
1689196081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58451
- Practice address
- 4630 50TH St Ste 506-a
Lubbock, TX 79414-3520 - Phone
- (806) 544-4740
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58451 | TX | Primary |
Addresses
Primary practice location
4630 50TH St Ste 506-a
Lubbock, TX 79414-3520
Mailing address
4630 50TH St Ste 506-a
Lubbock, TX 79414-3520
Phone (806) 544-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58451 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1689196081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 50TH ST STE 506-A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794143520",
"telephone_number": "806-544-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 50TH ST STE 506-A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794143520",
"telephone_number": "806-544-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.