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Organization
NIDIA HERNANDEZ, LICENSED CLINICAL SOCIAL WORKER, INC.,
Active
Organization
NIDIA HERNANDEZ, LICENSED CLINICAL SOCIAL WORKER, INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDIA HERNANDEZ LCSW, MSW, MPA (CEO, DIRECTOR)
(818) 378-8132
Entity
Organization
Contact information
Practice address
8700 PERSHING DR UNIT 5103, PLAYA DEL REY, CA 90293-8018
(818) 378-8132
Mailing address
8700 PERSHING DR UNIT 5103, PLAYA DEL REY, CA 90293-8018
(818) 378-8132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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