KIMBERLY HAZEL HERNANDEZ
NPI 1740095116
Social Worker - Clinical in San Ysidro, CA

Active since February 11, 2025
114 W HALL AVE, SAN YSIDRO, CA 92173(619) 420-3620 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2025, Feb 11, 2025 (2 updates tracked since 2025).

About Kimberly Hazel Hernandez NPPES

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

KIMBERLY HAZEL HERNANDEZ (NPI 1740095116) is an individual clinical provider in San Ysidro, California, licensed in California (129598) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1740095116
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY HAZEL HERNANDEZ
Location Address114 W HALL AVESan Ysidro, CA 92173-2693
Mailing Address430 F StChula Vista, CA 91910-3711 · (619) 420-3620
Sole ProprietorNo
Enumeration DateFebruary 11, 2025
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1740095116 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 CA · 129598
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.

114 W HALL AVE, San Ysidro, CA 92173

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
114 W HALL AVE
SAN YSIDRO, CA 92173
Adult Companion
114 W HALL AVE
SAN YSIDRO, CA 92173
Community/Behavioral Health
114 W HALL AVE
SAN YSIDRO, CA 92173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740095116, enumerated as an "individual" on February 11, 2025.

The provider is located at 114 W HALL AVE SAN YSIDRO, CA 92173 and the phone number is (619) 420-3620.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.