Individual provider Active NPI

Erika Faith De la Pena, LMSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1326619958
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1219 Barranca Dr
El Paso, TX 79935-4601
Phone
(915) 779-5600
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Social Worker 104100000X 64936 TX

Addresses

Primary practice location

1219 Barranca Dr
El Paso, TX 79935-4601

Mailing address

2124 King James PL
El Paso, TX 79903-1557
Phone (915) 777-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20240103000642 TX Practitioner - Clinical Social Worker 3971950130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64936TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Child Guidance Center Inc CurrentSince Nov 20, 2023 Accepting new patients
El Paso Child Guidance Center Clinical Past Accepting new patients

Locations

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1326619958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 KING JAMES PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799031557",
            "telephone_number": "915-777-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 BARRANCA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354601",
            "telephone_number": "915-779-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "ERIKA",
        "middle_name": "FAITH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "64936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.