MR. CARL CHRISTIAN HERTENSTEIN


Address: 3256 W Lake Mary Blvd, Suite 1100, Lake Mary, FL 32746
Phone: 4074165611

MR. CARL CHRISTIAN HERTENSTEIN (NPI# 1841477262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841477262
Entity Type Individual
Full Name MR. CARL CHRISTIAN HERTENSTEIN
Credential LCSW
Practice Address 3256 W Lake Mary Blvd
Suite 1100
Lake Mary
FL 32746
Mailing Address 107 Brandiwood Ct
Debary
FL 32713-2242
Practice Telephone 4074165611
Practice Fax Number 3867883600
Mailing Telephone 3864905745
Mailing Fax Number 3867883600
Enumeration Date 2008-01-28
Last Update Date 2010-10-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
SW 2941 FL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
SW 2941 FL Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
SW 2941 FL Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
SW 2941 FL Behavioral Health & Social Service Providers
N 104100000X Social Worker SW 2941 FL Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
SW 2941 FL Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist SW 2941 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL TAXONOMY CODE 104100000X 01

Office Location

Street Address 3256 W LAKE MARY BLVD
SUITE 1100
City LAKE MARY
State FL
Zip Code 32746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720388408 Elizabeth Hertenstein Marriage & Family Therapist 3256 W Lake Mary Blvd, Suite 1100, Lake Mary, FL 32746-3588 2010-10-27
1093041410 Erica Cohen Karlinsky Psychologist 3256 W Lake Mary Blvd, Suite 1100, Lake Mary, FL 32746-3588 2009-10-19
1669639530 Family Guidance and Counseling Center of Central Florida LLC Counselor 3256 W Lake Mary Blvd, Suite 1100, Lake Mary, FL 32746 2008-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588286397 James Maggert Physical Therapist Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 2020-05-14
1225663743 Jamie Pecot Behavior Technician 300 International Parkway, 200, Lake Mary, FL 32746 2020-03-04
1619509585 Dental Associates of Heathrow, LLC Dentist Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 2020-02-10
1376185876 Rinehart Road Surgery Center, LLC Clinic/Center 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 2019-10-16
1871140988 Central Florida Wellness LLC General Practice 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 2019-08-22
1326609942 Antoine Slade I Behavior Technician 4876 Rhinehart Road, Lake Mary, FL 32746 2019-06-25
1245891209 Ohri, LLC Clinic/Center 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 2019-06-21
1336610856 Olivia Laurel Stolz Physician Assistant 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 2018-12-10
1881171072 Elite-star Medical Transport LLC. Non-emergency Medical Transport (VAN) 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 2018-07-20
1508351537 Ariagny Elena Fereira Speech-Language Pathologist 145 Middle Street Suite 1101, Lake Mary, FL 32746 2018-06-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831629872 Catherine L Lindner Social Worker 200 Waymont Court #126, # 2, Lake Mary, FL 32746 2017-06-13
1912362005 North East Orlando Counseling Center, LLC Social Worker 2500 W Lake Mary Blvd Ste 107, Lake Mary, FL 32746-3501 2015-12-16
1114307204 Lester Clinton Nix IIi Social Worker 784 Silkwood Ct, Lake Mary, FL 32746-5929 2015-06-03
1417371261 Diane P Snow Social Worker 801 International Pkwy Fl 5, Lake Mary, FL 32746-4762 2014-02-14
1073899167 Amber Nicole Stanley Social Worker 3595 W Lake Mary Blvd, Suite C, Lake Mary, FL 32746-6750 2011-11-02
1558645341 Nickolas B Davis Social Worker 450 Technology Park, Lake Mary, FL 32746-6203 2011-09-28
1902125685 Nancy E Shaw Social Worker 862 Delfino Pl, Lake Mary, FL 32746-2364 2010-05-20
1568693208 Toni Furbringer Social Worker 310 Waymont Ct, Suite 104, Lake Mary, FL 32746-3475 2009-07-29
1649414251 Maria E. Nemec Social Worker 200 Waymont Ct Ste 126, Lake Mary, FL 32746-3413 2009-04-27
1346417680 Lawrence Mark Goldberg Social Worker 1871 Wentwood Cove, Lake Mary, FL 32746-1808 2008-05-15
Find all providers in LAKE MARY

Competitor

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City LAKE MARY
Zip Code 32746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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