| Kristen Hernandez, LCSW | |
|
3900 Legacy Park Blvd Nw Ste D100, Kennesaw, GA 30144-7322 | |
| (847) 421-7112 | |
| Not Available |
| Full Name | Kristen Hernandez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3900 Legacy Park Blvd Nw Ste D100, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386005577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016929 (Illinois) | Primary |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Hernandez, LCSW 408 E Oakton St, Arlington Heights, IL 60004-4718 Ph: () - | Kristen Hernandez, LCSW 3900 Legacy Park Blvd Nw Ste D100, Kennesaw, GA 30144-7322 Ph: (847) 421-7112 |
Ms. Annette Marie Hodgson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 Cherokee St Nw, Suite 101, Kennesaw, GA 30144 Phone: 404-597-3327 | |
Tao Lanita Bartleson-mosley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Chastain Rd Nw # 5300, Kennesaw, GA 30144 Phone: 678-654-0996 | |
Kiana R Hall, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 Shiloh Rd Nw Ste 520, Kennesaw, GA 30144 Phone: 404-910-3444 | |
Marie Stone, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 Ridenour Blvd Nw Ste 253, Kennesaw, GA 30152 Phone: 770-309-7686 | |
Fabricia Prado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4290 Bells Ferry Rd Nw, Ste 134 #1196, Kennesaw, GA 30144 Phone: 404-590-7262 | |
Janet Adams, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4255 Wade Green Rd Nw, Ste 414, Kennesaw, GA 30144 Phone: 678-213-2194 Fax: 678-922-7767 | |
Mrs. Kadesha Adelakun, LCSW, RPT-S, PMH-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Wooten Lake Rd Nw Ste 207, Kennesaw, GA 30144 Phone: 404-381-2462 |