Hernandez, Nancy Hart

Hernandez, Nancy Hart is an sole proprietor health care provider with primary practice located at 1716 27Th St , Lubbock TX 79411-1502. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hernandez, Nancy Hart can be contacted via phone (608) 807-6892.

Contact Information

Primary practice address
1716 27Th St Lubbock TX 79411-1502
Phone: (608) 807-6892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21329 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7715-123 Wisconsin

Profile Details

NPI number 1801076716
LBN Legal business name Hernandez, Nancy Hart
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2007
Last updated May 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801076716 NPPES
Texas MEDICAID 100902903

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