Healthcare Provider Details

I. General information

NPI: 1033073937
Provider Name (Legal Business Name): MELONIE NATASHA HERNANDEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 NW 16TH ST
MIAMI FL
33125-1926
US

IV. Provider business mailing address

3022 NW 16TH ST
MIAMI FL
33125-1926
US

V. Phone/Fax

Practice location:
  • Phone: 305-993-9273
  • Fax:
Mailing address:
  • Phone: 305-993-9273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW25855
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: