Individual
LISA J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1306 VERSAILLES RD, STE 120, LEXINGTON, KY 40504-1796
(859) 259-2635
(859) 254-7874
Mailing address
1306 VERSAILLES RD, STE 120, LEXINGTON, KY 40504-1796
(859) 259-2635
(859) 254-7874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5547
—
1041C0700X
Clinical Social Worker
Primary
3720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
05
—
7100266010
—
KY
Enumeration date
07/23/2009
Last updated
04/23/2020
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