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KAREN HERNANDEZ LICSW
NPI 1053184705
Social Worker - Clinical in Mankato, MN

Active since November 03, 2023PECOS Enrolled
226 N BROAD ST STE 101, MANKATO, MN 56001(507) 931-8040(507) 931-8060 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Hernandez Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN HERNANDEZ LICSW (NPI 1053184705) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (30306) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053184705
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN HERNANDEZCredential: LICSW
Location Address226 N BROAD ST STE 101Mankato, MN 56001-3520
Mailing Address226 N Broad St Ste 101Mankato, MN 56001-3520 · (612) 315-0713 · Fax (507) 931-8060
Phone(507) 931-8040
Fax(507) 931-8060
Sole ProprietorNo
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1053184705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 30306
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
226 N BROAD ST STE 101, Mankato, MN 56001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Hernandez Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Karen Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapy Is Cool LLC
1.5 mi
Clinical
1400 MADISON AVE STE 602
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1750154266 (763) 242-9151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Hernandez's NPI number?

The NPI number for Karen Hernandez is 1053184705. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Where is Karen Hernandez located?

Karen Hernandez practices at 226 N Broad St Ste 101, Mankato, MN 56001. The listed phone number is (507) 931-8040.

What is Karen Hernandez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Hernandez enrolled in Medicare?

Yes. Karen Hernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hernandez reassigns Medicare benefits to Therapy Is Cool LLC (Mankato, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Hernandez accept?

Health plans from HealthPartners list Karen Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Hernandez was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.