Individual provider Active NPI

Kimberly Hernandez, LCSW

  • Clinical Social Worker
  • Mission Viejo, CA
National Provider Identifier
1891976205
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131181 Issued in CA
Practice address
26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337
Phone
(949) 595-8610
Fax
(949) 595-0296
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 131181 CA Primary

Addresses

Primary practice location

26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337

Mailing address

25362 Village Rd
Dana Point, CA 92629-2942
Phone (949) 887-7013

Other practice location 1

27125 Calle Arroyo
San Juan Capistrano, CA 92675-2763
Phone (949) 296-6024

Other practice location 2

31831 Camino Capistrano Ste 109
San Juan Capistrano, CA 92675-3220
Phone (949) 887-7013

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.emdria.org/directory/people/kimberly-hernandez/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131181CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services CurrentSince Sep 24, 2023 Accepting new patients

Locations

26137 La Paz Rd
Ste 230
Mission Viejo, CA 92691
Phone (949) 595-8610

Organizations & group practices 1

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1891976205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25362 VILLAGE RD",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292942",
            "telephone_number": "949-887-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "949-595-8610",
            "fax_number": "949-595-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27125 Calle Arroyo",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926752763",
            "country_code": "US",
            "telephone_number": "949-296-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31831 Camino Capistrano Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753220",
            "country_code": "US",
            "telephone_number": "949-887-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "131181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.emdria.org/directory/people/kimberly-hernandez/",
            "affiliation": "N",
            "endpointDescription": "EMDRIA Certified",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26137 La Paz Rd Ste 230",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926915337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.