Individual provider Active NPI

Yolanda A Deines, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1114182250
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02002 Issued in TX
Practice address
6501 Boeing Dr BLDG F
Suite 2
El Paso, TX 79925-1096
Phone
(915) 772-8210
Fax
(915) 857-9452
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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 02002 TX Primary

Addresses

Primary practice location

6501 Boeing Dr BLDG F
Suite 2
El Paso, TX 79925-1096

Mailing address

6501 Boeing Dr BLDG F
Suite 2
El Paso, TX 79925-1096
Phone (915) 772-8210

Other identifiers 2

IdentifierTypeStateIssuer
0090RKOtherTXBXBS
1964801-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02002TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1114182250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BOEING DR BLDG F",
            "address_2": "SUITE 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251096",
            "telephone_number": "915-772-8210",
            "fax_number": "915-857-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BOEING DR BLDG F",
            "address_2": "SUITE 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251096",
            "telephone_number": "915-772-8210",
            "fax_number": "915-857-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINES",
        "first_name": "YOLANDA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "02002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "0090RK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964801-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.