Jennifer Hercules, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1487988085
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1487988085
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Hercules
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2009
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW71770 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | ASW 31445 | CA |
Practice location
510 S Vermont Ave Fl 21Los Angeles, CA 90020-1912
Phone 213-392-2401
Mailing address
510 S Vermont Ave Fl 21Los Angeles, CA 90020-1912
Phone 213-392-2401
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