Monica Hernandez

Individual provider Active NPI Social Worker · Chaparral, NM

NPI 1801240452 · NPPES record last updated Apr 20, 2016

Key facts

NPI
1801240452
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
M-09504 (NM)
Practice address
510 E Lisa Dr
Chaparral, NM 88081-7809
Phone
(575) 824-0820
Fax
(575) 824-1021
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

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
M-09504NMMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-09504 NM Yes

Addresses

Primary practice location

510 E Lisa Dr
Chaparral, NM 88081-7809

Mailing address

385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other providers in Chaparral, NM

All providers in Chaparral, NM · Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.