Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Hazel Hernandez

Individual provider Clinical Social Worker · NPI 1740095116

Kimberly Hazel Hernandez is a Clinical Social Worker in San Ysidro, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

114 W Hall Ave
San Ysidro, CA 92173-2693
Phone: (619) 420-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 129598 (CA)

Record details

NPI number1740095116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address430 F St, Chula Vista, CA 91910-3711

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