Provider Demographics
NPI:1770720401
Name:HERNANDEZ, MARIA G (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:G
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:G
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:735 STATE ST STE 219
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-5507
Mailing Address - Country:US
Mailing Address - Phone:805-637-7961
Mailing Address - Fax:
Practice Address - Street 1:735 STATE ST STE 219
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-5507
Practice Address - Country:US
Practice Address - Phone:805-694-8401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1770720401OtherNPI