Individual provider Active NPI

Elizabeth Hernandez-Falk

  • Social Worker
  • Indio, CA
National Provider Identifier
1720015670
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 20746 Issued in CA
Practice address
45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310
Phone
(760) 342-8344
Fax
(760) 342-8344
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 20746 CA Primary

Addresses

Primary practice location

45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310

Mailing address

45080 Golf Center Pkwy
Suite H
Indio, CA 92201-7310
Phone (760) 342-8344

Other names 1

  • Mrs. Elizabeth Hernandez Other name

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

LicenseStateTypeSpecialty
LCS 20746CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lae Family Counseling Services, Inc. Past Accepting new patients
Ehf Licensed Clinical Social Worker, Inc Past Accepting new patients

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1720015670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45080 GOLF CENTER PKWY",
            "address_2": "SUITE H",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922017310",
            "telephone_number": "760-342-8344",
            "fax_number": "760-342-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45080 GOLF CENTER PKWY",
            "address_2": "SUITE H",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922017310",
            "telephone_number": "760-342-8344",
            "fax_number": "760-342-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-FALK",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 20746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HERNANDEZ",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.