Provider Demographics
NPI:1396021861
Name:HERNANDEZ, MARIA MARGARITA (MSW, LMHP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MARGARITA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MSW, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4939 S 118TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2213
Mailing Address - Country:US
Mailing Address - Phone:402-451-0787
Mailing Address - Fax:402-898-7750
Practice Address - Street 1:3549 FONTENELLE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-3601
Practice Address - Country:US
Practice Address - Phone:402-451-0787
Practice Address - Fax:402-898-7750
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15841041C0700X
NE4569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical