Individual provider · Type 1 NPI

Jack R. Hernandez

Clinical Social Worker · Los Angeles, CA

NPI number 1972010445 Active

Practice location

1816 S Figueroa St
Los Angeles, CA 90015-3422

Call (213) 763-0302 Map

Mailing address

28833 Iron Village Dr
Valencia, CA 91354-1175

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW79757 (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 1972010445

Jack R. Hernandez's National Provider Identifier is 1972010445, issued on Jan 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 5, 2018.