Elizabeth Hernandez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006371 Issued in CT

Practice address

1400 Whitney Ave
Hamden, CT 06517-2459

Phone

(203) 248-2116

Fax

(203) 248-2572

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Connecticut

  dba Southwest Connecticut Mental Health System

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  Medicare reassignment
• The Children's Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1215271705
  NPD (past)
• The Children's Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1225042542
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1780088187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loydon Henry-Phillip, DC
• Katie Jessica Henry, LCSW
• Morgan Henry
• Robert Henry, MD
• Brooke Hepple, APRN
• Maria Crystal Hernandez
• Gustavo David Herrera-Brito
• Adrienne Hicks, M.D
• Sarah Hicks
• Laura Higgins, COTA/L

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.