Individual provider Active NPI

Ali Misael Hernandez Melendez

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1780137612
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW17011 Issued in FL
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

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ISW17011FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.