Active NPI
Cynthia Ann Hernandez, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1851497689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107546702 | Medicaid | TX | |
| 107546704 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.