Provider Demographics
NPI:1598808479
Name:HERNANDEZ, CERCI E (MSW)
Entity Type:Individual
Prefix:
First Name:CERCI
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 ROSEWOOD ST
Mailing Address - Street 2:2
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4427
Mailing Address - Country:US
Mailing Address - Phone:617-469-8535
Mailing Address - Fax:617-469-8545
Practice Address - Street 1:780 AMERICAN LEGION HWY
Practice Address - Street 2:TASP
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-3908
Practice Address - Country:US
Practice Address - Phone:617-469-8535
Practice Address - Fax:617-469-8545
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical