Individual provider Active NPI

Jennifer R Iruegas, LCSW

  • Clinical Social Worker
  • Jourdanton, TX
National Provider Identifier
1295402865
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61948 Issued in TX
Practice address
1088 W County Road 326
Jourdanton, TX 78026-5397
Phone
(830) 200-1796
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 61948 TX Primary

Addresses

Primary practice location

1088 W County Road 326
Jourdanton, TX 78026-5397

Mailing address

1088 W County Road 326
Jourdanton, TX 78026-5397
Phone (830) 200-1796

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
I20220307000436 TX Practitioner - Clinical Social Worker 0143614289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

400 N Allen Dr
Suite 204
Allen, TX 75013-2568
Phone (972) 233-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC CurrentSince Nov 4, 2024 Accepting new patients
Camino Real Community MHMR Center CurrentSince Jul 1, 2022 Accepting new patients
Assurasource LTD Clinical CurrentSince Nov 9, 2022 Accepting new patients
Vcounselors PLLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 4

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1295402865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W COUNTY ROAD 326",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780265397",
            "telephone_number": "830-200-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W COUNTY ROAD 326",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780265397",
            "telephone_number": "830-200-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRUEGAS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jourdanton, TX

Sources for this page

Verify at the official NPI Registry.