Active NPI
Kimberly Hernandez, LCSW
- Clinical Social Worker
- Mission Viejo, CA
National Provider Identifier
1891976205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 131181
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 131181 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Current | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Mission Viejo, CA
- NPI 1790817468
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.