Provider Demographics
NPI:1891511408
Name:HERNANDEZ, ROBERT LLOYD (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LLOYD
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7864 PATRIOTS LANDING PL
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1645
Mailing Address - Country:US
Mailing Address - Phone:804-731-5494
Mailing Address - Fax:
Practice Address - Street 1:16035 CONTINENTAL BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5900
Practice Address - Country:US
Practice Address - Phone:804-731-5494
Practice Address - Fax:804-479-8219
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA09040177071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical