Active NPI
Paola Andrea Hernandez, LCSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1902206410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88753
- Practice address
- 2085 Rustin Ave
Riverside, CA 92507-2498 - Phone
- (800) 706-7500
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88753 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
2085 Rustin Ave
Riverside, CA 92507-2498
Mailing address
3576 Arlington Ave
Riverside, CA 92506-3943
Phone (951) 788-5905
Other practice location 1
5849 Crocker St
Los Angeles, CA 90003-1311
Phone (323) 234-4445 ext. 100
Other practice location 2
3576 Arlington Ave
Riverside, CA 92506-3943
Phone (951) 788-5905
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 |
|---|---|---|---|
| 88753 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Past | Accepting new patients |
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
- Los Angeles, CA
- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1902206410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063943",
"telephone_number": "951-788-5905",
"fax_number": "323-234-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 RUSTIN AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072498",
"telephone_number": "800-706-7500"
}
],
"practiceLocations": [
{
"address_1": "5849 Crocker St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900031311",
"country_code": "US",
"telephone_number": "323-234-4445 x100",
"fax_number": "323-234-4477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3576 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925063943",
"country_code": "US",
"telephone_number": "951-788-5905",
"fax_number": "323-234-4477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "PAOLA",
"middle_name": "ANDREA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88753",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.