Individual provider Active NPI

Betty Jane Quintana, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1144879958
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53242 Issued in TX
Practice address
9650 Kenworthy St
El Paso, TX 79924-6011
Phone
(888) 365-6271
NPI assigned
Sep 5, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 53242 TX Primary

Addresses

Primary practice location

9650 Kenworthy St
El Paso, TX 79924-6011

Mailing address

5504 Milray Dr
El Paso, TX 79932-3183
Phone (915) 217-5226

Other identifiers 1

IdentifierTypeStateIssuer
53242OtherTXLICENSE

Other names 1

  • Betty J Lujan 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
I20190926002847 TX Practitioner - Clinical Social Worker 4587994926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53242TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Sep 5, 2019 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Inpathy Behavioral Healthcare Group LLC Past Accepting new patients

Locations

10880 Edgemere Blvd
El Paso, TX 79935
Phone (915) 590-7800

9650 Kenworthy St
El Paso, TX 79924
Phone (915) 751-0967

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Interoperability endpoints

  • Direct secure messaging: betty.quintana.1@24284.direct.athenahealth.com

Organizations & group practices 3

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1144879958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 MILRAY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323183",
            "telephone_number": "915-217-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246011",
            "telephone_number": "888-365-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "BETTY",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "53242",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "LUJAN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.