Healthcare Provider Details

I. General information

NPI: 1437366093
Provider Name (Legal Business Name): SILVIA E HERNANDEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4314 W VICTORY BLVD
BURBANK CA
91505
US

IV. Provider business mailing address

16440 BRYANT ST
NORTH HILLS CA
91343
US

V. Phone/Fax

Practice location:
  • Phone: 818-843-6611
  • Fax: 818-365-3827
Mailing address:
  • Phone: 818-754-2505
  • Fax: 818-365-3827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS15989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: