Individual provider Active NPI

Ileana Ivette Hernandez, LICSW, LADCI

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1891049664
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125216 Issued in MA
Practice address
356 White St
Springfield, MA 01108-2153
Phone
(413) 361-4200
Fax
(413) 217-0818
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4722 MA
Clinical Social Worker 1041C0700X 125216 MA Primary

Addresses

Primary practice location

356 White St
Springfield, MA 01108-2153

Mailing address

356 White St
Springfield, MA 01108-2153
Phone (413) 426-1321

Other identifiers 1

IdentifierTypeStateIssuer
1851444616MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address i.hernandez@evolucionofwellness.care Health Information Exchange (HIE)

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
4722MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolucion of Wellness LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

32 Hampden St
Springfield, MA 01103

133 Maple St
Ste 201
Springfield, MA 01105

1129 Riverdale St
West Springfield, MA 01089
Phone (413) 264-2620

Interoperability endpoints

  • Direct secure messaging: i.hernandez@evolucionofwellness.care
  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1891049664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 WHITE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082153",
            "telephone_number": "413-426-1321",
            "fax_number": "413-217-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 WHITE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082153",
            "telephone_number": "413-361-4200",
            "fax_number": "413-217-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ILEANA",
        "middle_name": "IVETTE",
        "credential": "LICSW, LADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851444616",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "i.hernandez@evolucionofwellness.care",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "356 White St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011082153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.