Active NPI
Ali Misael Hernandez Melendez
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1780137612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW17011
- Practice address
- 3742 Linsbury St
Orlando, FL 32817-1837 - Phone
- (407) 408-4645
- NPI assigned
- Jul 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Clinical Social Worker | 1041C0700X | ISW17011 | FL | Primary |
Addresses
Primary practice location
3742 Linsbury St
Orlando, FL 32817-1837
Mailing address
3742 Linsbury St
Orlando, FL 32817-1837
Phone (407) 408-4645
Other practice location 1
4917 Eli St
Orlando, FL 32804-1717
Phone (407) 808-7837
Other practice location 2
5818 SE Agnew Rd
Belleview, FL 34420-4020
Phone (561) 706-1004
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW17011 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oca Opportunity Community Ability Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1952767048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1780137612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 LINSBURY ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171837",
"telephone_number": "407-408-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 LINSBURY ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171837",
"telephone_number": "407-408-4645"
}
],
"practiceLocations": [
{
"address_1": "4917 Eli St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328041717",
"country_code": "US",
"telephone_number": "407-808-7837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5818 SE Agnew Rd",
"address_purpose": "LOCATION",
"city": "Belleview",
"state": "FL",
"postal_code": "344204020",
"country_code": "US",
"telephone_number": "561-706-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ MELENDEZ",
"first_name": "ALI",
"middle_name": "MISAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW17011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Monica Hernandez Gonzalez
- Hernandez Health Solutions LLC
- Christian Hernandez Hernandez, RBT-24-378950
- Daniela De la Caridad Hernandez Ledezma
- Marisleydis Hernandez Martin
- Ana Lidia Hernandez Mirabal
- Maykel Manuel Hernandez Pena
- Cinthia Hernandez Perez, RBT-18-72572
- Veronica Hernandez Perez, MED, ATC, LAT
- Saily Hernandez Pescozo, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.