Jose Castrellon, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S08593 Issued in TX

Practice address

499 St Matthews
El Paso, TX 79907-4214

Phone

(915) 872-8424

Fax

(915) 872-8425

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellmind, PLLC

  • Clinical Psychologist
  • El Paso, TX
  • NPI 1477032480
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073605358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ST MATTHEWS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074214",
            "telephone_number": "915-872-8424",
            "fax_number": "915-872-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ST MATTHEWS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074214",
            "telephone_number": "915-872-8424",
            "fax_number": "915-872-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRELLON",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "S08593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86248Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergio Humberto Castillo, M.D.
• Juan Jose Castorena, LBSW
• Marco Polo Castorena
• Yvonne Castorena
• Demetria Ann Castrellon, ACNP
• Rebecca Castro Cardenas
• Castro Chiropractic Center, P.a.
• Carlos Castro de Lo Santos
• Ligia P Castro Zambrana
• Angel Luis Castro Jr., PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.