Ercilia A Hernandez, LSCSW | |
2100 N Main St # 304, Crown Point, IN 46307-1877 | |
(574) 546-1900 | |
(574) 546-1999 |
Full Name | Ercilia A Hernandez |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2100 N Main St # 304, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326121377 | NPI | - | NPPES |
2290 | Other | KS | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2290 (Kansas) | Secondary |
1041C0700X | Social Worker - Clinical | 34009865A (Indiana) | Primary |
Entity Name | Lifespring Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040315000128 |
Entity Name | Neurology And Pain Management Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518900620 PECOS PAC ID: 4486676095 Enrollment ID: O20051223000201 |
Mailing Address | Practice Location Address |
---|---|
Ercilia A Hernandez, LSCSW 5401 Sw 7th St, Topeka, KS 66606-2330 Ph: (785) 273-2252 | Ercilia A Hernandez, LSCSW 2100 N Main St # 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900 |
Dr. Trevaughn Davis-neal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9800 Connecticut Dr, Crown Point, IN 46307 Phone: 866-220-0238 Fax: 866-222-0631 | |
Miss Melissa D Patterson-wright, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mira M May, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Robert G Crytzer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301 | |
Mrs. Susan Marcus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9150 East 109th Street, Crown Point, IN 46307 Phone: 219-689-9883 | |
Margaret Cousineau, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11035 Broadway, Crown Point, IN 46307 Phone: 877-467-6881 | |
Lisa Ellen Stonebraker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 |