Ileana Ivette Hernandez, LICSW, LADCI is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Massachusetts. Her current practice location is
133 Maple St Ste 201, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 225-1197.
Ileana Ivette Hernandez is licensed to practice in Massachusetts (license number 125216) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891049664.
Healthcare Provider's Profile
Full Name | Ileana Ivette Hernandez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 133 Maple St Ste 201, Springfield, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891049664
- Provider Enumeration Date: 11/01/2012
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658756515
- Enrollment ID: I20220914001230
Medical Identifiers
Medical identifiers for Ileana Ivette Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891049664 | NPI | - | NPPES |
1851444616 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4722 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 125216 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ileana Ivette Hernandez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ileana Ivette Hernandez, LICSW, LADCI 34 Mansfield St, Springfield, MA 01108-2209 Ph: (413) 426-1321 | Ileana Ivette Hernandez, LICSW, LADCI 133 Maple St Ste 201, Springfield, MA 01105-1896 Ph: (413) 225-1197 |
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