Provider Demographics
NPI:1871772384
Name:HERNANDEZ, ALDO (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALDO
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 N KENMORE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3727
Mailing Address - Country:US
Mailing Address - Phone:646-752-2760
Mailing Address - Fax:312-491-5485
Practice Address - Street 1:4835 N KENMORE AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3727
Practice Address - Country:US
Practice Address - Phone:646-752-2760
Practice Address - Fax:312-491-5020
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0126661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical