Edgar A. Hernandez, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009717 Issued in WA

Practice address

1522 Western Ave Ste 24121
Seattle, WA 98101-1522

Phone

(206) 309-5096

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edgar A. Hernandez Garcia Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1760589766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 WESTERN AVE STE 24121",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011522",
            "telephone_number": "206-309-5096",
            "fax_number": "206-260-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 WESTERN AVE STE 24121",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011522",
            "telephone_number": "206-309-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDGAR",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "HERNANDEZ GARCIA",
            "middle_name": "A.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Albert Antonio Hernandez, PA-C
• Ana Carolina Hernandez, PHD
• Angela Marie Hernandez, MD
• Camila Hernandez, MS, LMFTA
• Christopher Justin Hernandez
• Evalane Hernandez
• Jeanette Hernandez
• Johanna Hernandez
• Laura Hernandez, MD
• Maritza Hernandez

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.

Verify at the official NPI Registry.