Jesus Espinosa Valenzuela, LMSW/ACP, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09723 Issued in TX

Practice address

1725 E Yandell Dr
El Paso, TX 79902-5714

Phone

(915) 544-0772

Fax

(915) 534-7887

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1063496180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025714",
            "telephone_number": "915-544-0772",
            "fax_number": "915-534-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025714",
            "telephone_number": "915-544-0772",
            "fax_number": "915-534-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JESUS",
        "middle_name": "ESPINOSA",
        "name_prefix": "Mr.",
        "credential": "LMSW/ACP, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09723",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-1142",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128971203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Valenzuela, M.S. CCC SLP
• Daniel Brok Valenzuela
• Enrique Valenzuela, RXPH
• Erika Valenzuela, MACCCSLP
• Florencia Valenzuela, PTA
• Jose Antonio Valenzuela Jr., CRNA
• Jose Ivan Valenzuela, FNP-C
• Jose Luis Valenzuela, LPC, LCDC
• Manuel F Valenzuela, MD
• Mayra Valenzuela, NP

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.