Luis Daniel Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013449 Issued in NC

Practice address

1819 Peachtree Rd NE Ste 450
Atlanta, GA 30309-1853

Phone

(910) 332-5734

Fax

(910) 332-5739

NPI assigned

Jun 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1871152389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 KITTRELL FARMS DR # T-8",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588151",
            "telephone_number": "919-273-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091853",
            "telephone_number": "910-332-5734",
            "fax_number": "910-332-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Hernandez
• Carlos Airam Hernandez, MD
• Elaime Hernandez, O.D.
• Lilian Hernandez
• Liuderky Hernandez, NP
• Melissa Marie Hernandez
• Mikayla Golden Hernandez
• Natalie Marie Hernandez
• Nicole Hernandez
• Randall Tyler Hernandez, APRN

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; 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.