Individual
ERCILIA A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
5401 SW 7TH ST, TOPEKA, KS 66606-2330
(785) 273-2252
(785) 273-2736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2290
KS
1041C0700X
Clinical Social Worker
Primary
34009865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2290
STATE LICENSE
KS
Enumeration date
10/23/2006
Last updated
04/12/2024
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