Individual provider Active NPI

Ervilene F Kuhlmann, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1255469037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09490 Issued in TX
Practice address
2141 Office Park Dr
San Angelo, TX 76904-6836
Phone
(325) 942-9798
Fax
(325) 942-9798
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 09490 TX Primary

Addresses

Primary practice location

2141 Office Park Dr
San Angelo, TX 76904-6836

Mailing address

1321 Shafter St
San Angelo, TX 76901-4660
Phone (325) 655-0530

Other identifiers 3

IdentifierTypeStateIssuer
125373OtherTXTRICARE
00S04WOtherTXBLUE CROSS
06394520MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9490TXMDProfessional Counselor
09490TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255469037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SHAFTER ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014660",
            "telephone_number": "325-655-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 OFFICE PARK DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046836",
            "telephone_number": "325-942-9798",
            "fax_number": "325-942-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLMANN",
        "first_name": "ERVILENE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "125373",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00S04W",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06394520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.