Active NPI
Betty Jane Quintana, LCSW
- Clinical Social Worker
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 53242
- Practice address
- 9650 Kenworthy St
El Paso, TX 79924-6011 - Phone
- (888) 365-6271
- NPI assigned
- Sep 5, 2019
- Last updated
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53242 | Other | TX | LICENSE |
Other names 1
- Betty J Lujan
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53242 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Current | 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
- 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.
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
-
- Psychiatry Physician
- Marlton, NJ
- NPI 1285099325
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.