Provider Demographics
NPI:1740747831
Name:HERNANDEZ, IMEE (LMSW)
Entity Type:Individual
Prefix:
First Name:IMEE
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.S. 506 SCHOOL OF COMMUNICATION THRU JOURNALISM & TECH
Mailing Address - Street 2:330 59 STREET
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:718-492-0087
Mailing Address - Fax:
Practice Address - Street 1:P.S. 506 SCHOOL OF COMMUNICATION THRU JOURNALISM & TECH
Practice Address - Street 2:330 59 STREET
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-492-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08597611041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool