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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAULA E HERNANDEZ LCSW
NPI 1336868538
Social Worker - Clinical in Portland, ME

Active since August 23, 2022PECOS Enrolled
68 BISHOP ST STE 2, PORTLAND, ME 04103(917) 588-7349 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Aug 23, 2022 (2 updates tracked since 2022).

About Paula E Hernandez Lcsw NPPES

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

PAULA E HERNANDEZ LCSW (NPI 1336868538) is an individual clinical provider in Portland, Maine, licensed in Maine (MC20325) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336868538
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULA E HERNANDEZCredential: LCSW
Location Address68 BISHOP ST STE 2Portland, ME 04103-2681
Mailing Address31 Saunders St Apt 1Portland, ME 04103-3126 · (917) 588-7349
Phone(917) 588-7349
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2022
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1336868538 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 ME · MC20325
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.
68 BISHOP ST STE 2, Portland, ME 04103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula E Hernandez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214421395
PECOS Enrollment IDI20251216002349
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 Paula Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portland Community Health Center
0.7 mi
Federally Qualified Health Center (FQHC)
196 ALLEN AVE
Portland, ME 04103
  • Reassigned Medicare billing, Maine enrollment
  • 65 clinicians in this Medicare group
NPI 1184178246 (207) 842-4693

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 04103 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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 6

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

SUNRISE HOME CARE OF MAINE LLC
In Home Supportive Care
68 BISHOP ST STE 2
PORTLAND, ME 04103
Cumberland County (207) 604-3595
OCEAN HOME CARE LLC
Technician (Personal Care Attendant)
68 BISHOP ST STE 2
PORTLAND, ME 04103
Cumberland County (207) 252-9823
ZAHRAA HOME CARE, LLC
In Home Supportive Care
68 BISHOP ST STE 2
PORTLAND, ME 04103
Cumberland County (207) 239-7154
BEACONCARE LLC
Home Health Aide
68 BISHOP ST STE 2, SUIT 2
PORTLAND, ME 04103
Cumberland County (857) 999-1659
ON TIME TRANSPORTATION LLC
In Home Supportive Care
68 BISHOP ST STE 2
PORTLAND, ME 04103
Cumberland County (207) 400-5928
TRUE HOMECARE
In Home Supportive Care
68 BISHOP ST STE 2
PORTLAND, ME 04103
Cumberland County (207) 808-3811

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 Paula Hernandez's NPI number?

The NPI number for Paula Hernandez is 1336868538. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Paula Hernandez located?

Paula Hernandez practices at 68 Bishop St Ste 2, Portland, ME 04103. The listed phone number is (917) 588-7349.

What is Paula Hernandez's specialty?

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

Is Paula Hernandez enrolled in Medicare?

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

Which organization bills Medicare for Paula Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Hernandez reassigns Medicare benefits to Portland Community Health Center (Portland, ME). 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 Paula Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Hernandez accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paula 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 Paula Hernandez was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.