Individual provider · Type 1 NPI

Dominique Hernandez

Clinical Social Worker · San Diego, CA

NPI number 1295506699 Active

Practice location

PO Box 710145
San Diego, CA 92171-0145

Fax (619) 866-4186

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	ASW120312 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1295506699

Dominique Hernandez's National Provider Identifier is 1295506699, issued on Jan 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 3, 2026.