JENNIFER HERNANDEZ (LCSW) – Social Worker, NPI 1508213190

JENNIFER HERNANDEZ (LCSW) is a healthcare provider. based in Clinton, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2023045063 (MO). The NPI Number for JENNIFER HERNANDEZ (LCSW) is 1508213190

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER HERNANDEZ (LCSW)
NPI
1508213190
Phone
(660) 885-8131
Address
1800 COMMUNITY
Enumeration Date
24 May 2016
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884031071
Graduation Year
2009 (17 years ago)
PAC ID
6901340272
Group Practice PAC ID
1951206754
Professional Enrollment ID
I20240627001302
Address ID
MO650653098OS980XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for JENNIFER HERNANDEZ (LCSW)

  • 1800 COMMUNITY

    CLINTON, MO 647358804

    Phone: (660) 885-8131

    Type: Mailing

  • 13207 WRIGHT RD

    BUDA, TX 786105000

    Phone: (512) 697-8500

    Type: Mailing

  • 63 Vfw Rd

    Camdenton, MO 650208411

    Phone: (844) 853-8937

    Type: Location

  • 980 PARKSIDE VILLAGE LN

    OSAGE BEACH, MO 650653098

    Phone: (844) 853-8937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240627001302IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64735)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951206754View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER HERNANDEZ (LCSW)?
The federal identifier for JENNIFER HERNANDEZ (LCSW) is NPI 1508213190.
Is JENNIFER HERNANDEZ (LCSW)'s NPI currently valid?
The extract we use shows JENNIFER HERNANDEZ (LCSW) as active.
What kind of provider is JENNIFER HERNANDEZ (LCSW)?
The page reflects Social Worker for JENNIFER HERNANDEZ (LCSW). Clinical services aligned with this taxonomy classification.
Where is JENNIFER HERNANDEZ (LCSW)'s primary listing?
We display Clinton, Missouri because that is what the record indicates for JENNIFER HERNANDEZ (LCSW).
Is JENNIFER HERNANDEZ (LCSW) a real provider?
This page reflects official NPPES data for NPI 1508213190. Always confirm identity and privileges with the practice and licensing boards.

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