MEDICARE: ADRIAN HERNANDEZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW131843	CA

General Provider Information

NPI Number	:	1902760341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN HERNANDEZ LCSW

Provider Business Mailing Address
First Line	:	20700 VENTURA BLVD STE 235
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-6650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20700 VENTURA BLVD STE 235
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-6650
Country	:	US
Telephone Number	:	951-392-6260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ ADRIAN HERNANDEZ LCSW” Practice Location

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