Provider Demographics
NPI:1215629902
Name:HERNANDEZ, MARIA DEL ROSARIO (LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL ROSARIO
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROZEE
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:6102 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6710
Mailing Address - Country:US
Mailing Address - Phone:806-674-8768
Mailing Address - Fax:
Practice Address - Street 1:6102 HARVARD ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6710
Practice Address - Country:US
Practice Address - Phone:806-674-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical