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Contact Information

BRENDA D HERNANDEZ, LSCSW
2020 CENTRAL AVE
DODGE CITY, KS67801-6411
 Phone: 620-227-9797
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRENDA D HERNANDEZ · (Female)

NPI # 1669133252
Status Active
Credentials LSCSW
Entity Individual
Enumeration date 01/05/2022
Last updated 10/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KS License # 00919
  • KS License # 06586
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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