Individual provider Active NPI

Aldo Hernandez, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1871772384
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012666 Issued in IL
Practice address
4835 N Kenmore Ave Apt 2
Chicago, IL 60640-3727
Phone
(646) 752-2760
Fax
(312) 491-5020
NPI assigned
Oct 31, 2007
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 149.012666 IL Primary

Addresses

Primary practice location

4835 N Kenmore Ave Apt 2
Chicago, IL 60640-3727

Mailing address

4835 N Kenmore Ave Apt 2
Chicago, IL 60640-3727
Phone (646) 752-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012666ILMDClinical Social Worker
057194NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Livindi Medical Group Illinois PLLC Clinical CurrentSince Jun 26, 2023 Accepting new patients
Livindi Medical Group Illinois PLLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Community Counseling Centers of Chicago Past Accepting new patients

Locations

1328 Main St
Crete, IL 60417
Phone (508) 416-6030

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1871772384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 N KENMORE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403727",
            "telephone_number": "646-752-2760",
            "fax_number": "312-491-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 N KENMORE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403727",
            "telephone_number": "646-752-2760",
            "fax_number": "312-491-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ALDO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.