Ileana Hernandez, LSW
Social Worker, Clinical in Newark, NJ. Individual provider (NPI-1).
NPI number1164052833
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1164052833
- Entity type
- Individual (NPI-1)
- Name
- Ileana Hernandez
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
590 N 7th StNewark, NJ 07107-4553
Phone 973-596-4100
Mailing address
590 N 7th StNewark, NJ 07107-4553
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