Individual provider Active NPI

Cynthia Ann Hernandez, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1851497689
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25541 Issued in TX
Practice address
627 W 19TH St
2033
Houston, TX 77008-3685
Phone
(713) 459-3361
Fax
(713) 861-5330
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 25541 TX Primary

Addresses

Primary practice location

627 W 19TH St
2033
Houston, TX 77008-3685

Mailing address

6519 Cindy LN
Houston, TX 77008-5108
Phone (713) 459-3361

Other practice location 1

6519 Cindy Ln
Houston, TX 77008-5108
Phone (713) 459-3361

Other identifiers 2

IdentifierTypeStateIssuer
107546702MedicaidTX
107546704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20060330000573 TX Practitioner - Clinical Social Worker 8325056476 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1851497689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 CINDY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770085108",
            "telephone_number": "713-459-3361",
            "fax_number": "713-861-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W 19TH ST",
            "address_2": "2033",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083685",
            "telephone_number": "713-459-3361",
            "fax_number": "713-861-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6519 Cindy Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770085108",
            "country_code": "US",
            "telephone_number": "713-459-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107546702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107546704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.