ANGELA RAE HERNANDEZ LCSW
NPI 1306308036
Social Worker - Clinical in Provo, UT

Q: What is Angela Hernandez's NPI number?

The NPI number for Angela Hernandez is 1306308036. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Angela Hernandez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Hernandez was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 02, 2019PECOS Enrolled

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Apr 2, 2019 (2 updates tracked since 2019).

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About Angela Rae Hernandez Lcsw NPPES

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

ANGELA RAE HERNANDEZ LCSW (NPI 1306308036) is an individual clinical provider in Provo, Utah, licensed in Utah (13069232-3501) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1306308036

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANGELA RAE HERNANDEZCredential: LCSW

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing AddressN1184 S White River RdWautoma, WI 54982-9021 · (715) 209-1253

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorYes

Enumeration DateApril 2, 2019

Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1306308036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in UT · 13069232-3501✔ Licensed in WI · 8732-123

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.

750 N FREEDOM BLVD, Provo, UT 84601

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Secondary Practice Location 1

Location 114 Tri Park WayAppleton, WI 54914-6430 · Phone (920) 831-0070 ext. 47527 · Fax (920) 733-3822

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Rae Hernandez Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 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 $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)