Individual provider Active NPI

Tonya Y Hernandez, LCSW

  • Clinical Social Worker
  • N Las Vegas, NV
National Provider Identifier
1942783394
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4689-C Issued in NV
Practice address
CCSD Area Service Center at Mojave Esd
5240 Goldfield St
N Las Vegas, NV 89032
Phone
(702) 855-7518
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 4689-C NV Primary

Addresses

Primary practice location

CCSD Area Service Center at Mojave Esd
5240 Goldfield St
N Las Vegas, NV 89032

Mailing address

CCSD Area Service Center at Mojave Esd
5240 Goldfield St
N Las Vegas, NV 89032
Phone (702) 855-7518

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
4689-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1942783394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CCSD AREA SERVICE CENTER AT MOJAVE ESD",
            "address_2": "5240 GOLDFIELD ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-855-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CCSD AREA SERVICE CENTER AT MOJAVE ESD",
            "address_2": "5240 GOLDFIELD ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-855-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TONYA",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4689-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.