Andrea Rochelle Carrillo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62043 Issued in TX

Practice address

3510 4TH St
Lubbock, TX 79415-3329

Phone

(806) 472-3400

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meadowlark Therapy, PLLC

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1477382299
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1346807708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RANGER ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793822103",
            "telephone_number": "806-239-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153329",
            "telephone_number": "806-472-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 S Loop 289 Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79423",
            "country_code": "US",
            "telephone_number": "806-498-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANDREA",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Carrasco, DPT
• Martin Carrasco, M.ED, LPC
• Whitney Carrasco
• Lesley Carraway, SLP
• Staci Carrell
• Christopher Carrillo, LMSW
• Gabriella Carrillo
• Stephanie Colleen Carrillo, M.S., CCC-SLP
• Carrillon
• Robert Carl Carruthers, PHARMD

• Clinical Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.