Individual provider Active NPI

Katherine Zoe Giovas, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1225572068
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57575 Issued in TX
Practice address
4845 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 242-8560
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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 57575 TX Primary

Addresses

Primary practice location

4845 Alameda Ave
El Paso, TX 79905-2705

Mailing address

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 242-8560

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
I20171206002707 TX Practitioner - Clinical Social Worker 5890052443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmind, PLLCGroup PAC ID 2062758378, 3 clinicians

Practice addresses (Care Compare)

11163 La Quinta PL
Suite B100
El Paso, TX 79936-5258
Phone (915) 201-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57575TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind, PLLC CurrentSince Jan 16, 2019 Accepting new patients

Locations

11163 La Quinta Pl
Ste B100
El Paso, TX 79936
Phone (915) 201-2606

600 Sunland Park Dr
Ste 4-400
El Paso, TX 79912
Phone (915) 201-2606

Organizations & group practices 1

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1225572068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-242-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-242-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVAS",
        "first_name": "KATHERINE",
        "middle_name": "ZOE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.