MIRIAM HERNANDEZ (LCSW) – Clinical Social Worker, NPI 1144925504

MIRIAM HERNANDEZ (LCSW) is a healthcare provider. based in Waco, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 61651 (TX). The NPI Number for MIRIAM HERNANDEZ (LCSW) is 1144925504

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM HERNANDEZ (LCSW)
NPI
1144925504
Phone
(254) 313-4200
Address
1600 PROVIDENCE DR
Enumeration Date
4 April 2023
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2543136600
Graduation Year
2015 (11 years ago)
PAC ID
0749645471
Group Practice PAC ID
1153370242
Professional Enrollment ID
I20230502000382
Address ID
TX767123977WA6500XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for MIRIAM HERNANDEZ (LCSW)

  • 1600 PROVIDENCE DR

    WACO, TX 767072261

    Phone: (254) 313-4200

    Mailing address matches the actual address.

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: 2023-05-02

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
I20230502000382IClinical Social WorkerTXTBD

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 76707)

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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: 1153370242View full group profile

Reviews

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Frequently asked questions

How do I look up MIRIAM HERNANDEZ (LCSW) by NPI?
Use NPI 1144925504 when you need to reference MIRIAM HERNANDEZ (LCSW) in forms, claims, or directories.
Is MIRIAM HERNANDEZ (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MIRIAM HERNANDEZ (LCSW) treat or focus on?
Patients typically see MIRIAM HERNANDEZ (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MIRIAM HERNANDEZ (LCSW) practice in Texas?
You will see Waco, Texas on file for MIRIAM HERNANDEZ (LCSW) alongside any extra practice locations.
How can I contact MIRIAM HERNANDEZ (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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