Individual provider Active NPI

Marissa Yesenia Moisa Hernandez, ACSW

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1821716101
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
140687 Issued in CA
Practice address
44505 90TH St W
Lancaster, CA 93536-7705
Phone
(661) 992-9424
Fax
(714) 276-2604
NPI assigned
Aug 22, 2022
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 140687 CA Primary

Addresses

Primary practice location

44505 90TH St W
Lancaster, CA 93536-7705

Mailing address

44205 Honeybee LN
Lancaster, CA 93536-7129
Phone (661) 992-9424

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
MPSS-QUOEZYCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1821716101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44205 HONEYBEE LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367129",
            "telephone_number": "661-992-9424",
            "fax_number": "714-276-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44505 90TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367705",
            "telephone_number": "661-992-9424",
            "fax_number": "714-276-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISA HERNANDEZ",
        "first_name": "MARISSA",
        "middle_name": "YESENIA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "140687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.