Provider Demographics
NPI:1467124248
Name:HERNANDEZ, VICTORIA SILVIA (LCSW)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:SILVIA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 BUTTE HOUSE RD STE J
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2749
Mailing Address - Country:US
Mailing Address - Phone:530-565-6444
Mailing Address - Fax:
Practice Address - Street 1:500 OLIVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5637
Practice Address - Country:US
Practice Address - Phone:530-565-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1220161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical