Mariluz Hernandez, LMSW

Individual provider Active NPI Social Worker · Stony Point, NY

NPI 1770163776 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1770163776
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
110614 (NY)
Practice address
22 Stubbe Dr
Stony Point, NY 10980-2439
Phone
(845) 548-1066
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110614NYMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110614 NY Yes

Addresses

Primary practice location

22 Stubbe Dr
Stony Point, NY 10980-2439

Mailing address

22 Stubbe Dr
Stony Point, NY 10980-2439
Phone (845) 548-1066

Other providers in Stony Point, NY

All providers in Stony Point, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.