Walt Hersing, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0003317 Issued in FL

Practice address

2123 Franklin Dr NE
Palm Bay, FL 32905-4022

Phone

(321) 724-1614

Fax

(321) 722-3590

NPI assigned

Jul 1, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Psychiatric Centers IncGroup PAC ID 1557357860, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atlanticpsychiatric.walthersing@157402.advancedmd-direct.com

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.

• Atlantic Psychiatric Centers, Inc.

  • Psychiatry Physician
  • Palm Bay, FL
  • NPI 1386691418

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770512808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 FRANKLIN DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054022",
            "telephone_number": "321-724-1614",
            "fax_number": "321-722-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 FRANKLIN DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054022",
            "telephone_number": "321-724-1614",
            "fax_number": "321-722-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSING",
        "first_name": "WALT",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z6179Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Denisse Hernandez Martinez, PHARMD
• David Hernandez
• Kaesly B Hernandez
• Richard Hernandez, MD
• Mallory Kathleen Herndon
• Anthony Jay Herzog, MD
• Jennifer Hesly, PHARMD
• Hetherington Therapy
• Amy Lynn Hibbard, PHARMD
• Joseph Hibbard, CRNA, ARNP

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.