Individual provider Active NPI

Marilena Jean Esparza, LCSW

  • Clinical Social Worker
  • San Benito, TX
National Provider Identifier
1053037655
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57050 Issued in TX
Practice address
32393 Hackberry Rd
San Benito, TX 78586-7330
Phone
(956) 241-8163
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 57050 TX Primary

Addresses

Primary practice location

32393 Hackberry Rd
San Benito, TX 78586-7330

Mailing address

32393 Hackberry Rd
San Benito, TX 78586-7330
Phone (956) 241-8163

Other names 1

  • Mrs. Marilena Jean Rodriguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230213000763 TX Practitioner - Clinical Social Worker 3779955158 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57050TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 14, 2024 Accepting new patients
Su Clinica Familiar Single Specialty CurrentSince Nov 7, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

105 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 831-8338

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: marilena.esparza.1@27715.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1053037655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32393 HACKBERRY RD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785867330",
            "telephone_number": "956-241-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32393 HACKBERRY RD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785867330",
            "telephone_number": "956-241-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "MARILENA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILENA",
            "last_name": "RODRIGUEZ",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Benito, TX

Sources for this page

Verify at the official NPI Registry.