Individual provider Active NPI

Raymond Castilleja Jr., LCSW-S

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1225459530
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56285 Issued in TX
Practice address
4004 Worth St Ste 200
Dallas, TX 75246-1640
Phone
(469) 802-2468
NPI assigned
Jan 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 56285 TX
Clinical Social Worker 1041C0700X 56285 TX Primary

Addresses

Primary practice location

4004 Worth St Ste 200
Dallas, TX 75246-1640

Mailing address

16127 Amberwood Rd
Dallas, TX 75248-2962
Phone (214) 498-9398

Other practice location 1

443 E Greenbriar Ln
Dallas, TX 75203-1000
Phone (214) 894-5722

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
I20230410002415 TX Practitioner - Clinical Social Worker 8325413164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56285TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. Clinical CurrentSince Mar 1, 2023 Accepting new patients
AIDS Arms, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830

4004 Worth St
Ste 200
Dallas, TX 75246
Phone (214) 521-5191

3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191

2801 Lemmon Ave
Ste 200
Dallas, TX 75204
Phone (214) 266-1600

Organizations & group practices 2

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": "1388793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1225459530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16127 AMBERWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482962",
            "telephone_number": "214-498-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 WORTH ST STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461640",
            "telephone_number": "469-802-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 E Greenbriar Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031000",
            "country_code": "US",
            "telephone_number": "214-894-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLEJA",
        "first_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.