Active NPI
Angela Christine Hernandez, LCSW
- Social Worker
- Flagstaff, AZ
National Provider Identifier
1992426530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-23530
- Practice address
- 77 W Forest Ave Ste 304
Flagstaff, AZ 86001-1481 - Phone
- (928) 214-3600
- Fax
- (928) 214-3601
- NPI assigned
- Sep 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-23530 | AZ | Primary |
Addresses
Primary practice location
77 W Forest Ave Ste 304
Flagstaff, AZ 86001-1481
Mailing address
77 W Forest Ave Ste 304
Flagstaff, AZ 86001-1481
Phone (928) 214-3600
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 |
|---|---|---|---|
| LCSW-23530 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pediatrics | Multi-Specialty | Current | Accepting new patients |
Locations
77 W Forest Ave
Ste 304
Flagstaff, AZ 86001
Phone (928) 214-3600
Interoperability endpoints
- angela.hernandez-mmmvp@contexture.medalliesmail.com
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": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1992426530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 304",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011481",
"telephone_number": "928-214-3600",
"fax_number": "928-214-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 304",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011481",
"telephone_number": "928-214-3600",
"fax_number": "928-214-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "AZ",
"license": "LCSW-23530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.