Aurelio De la Fuente Jr., LCSW
Individual provider Active NPI Clinical Social Worker · Allen, TX
NPI 1366801722 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1366801722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 61487 (TX)
- Practice address
- 400 N Allen Dr Ste 204
Allen, TX 75013-2568 - Phone
- (972) 233-1010
- Fax
- (214) 623-6692
- NPI assigned
- Feb 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Assurasource LTD
Practice addresses (Care Compare)
400 N Allen Dr
Suite 204
Allen, TX 75013-2568
Phone (972) 233-1010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230418001063 | TX | Practitioner - Clinical Social Worker | 6103291505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61487 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurasource LTD | Clinical | Current |
Accepting new patients |
Locations
400 N Allen Dr
Ste 204
Allen, TX 75013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 61487 | TX | |
| Clinical Social Worker |
1041C0700X | 61487 | TX | Yes |
Addresses
Primary practice location
400 N Allen Dr Ste 204
Allen, TX 75013-2568
Mailing address
1814 Bahamas Dr
Number 2
Edinburg, TX 78541
Phone (956) 414-3996
Other practice location 1
1814 Bahamas Dr
Number 2
Edinburg, TX 78541-3991
Phone (956) 414-3996
Other providers in Allen, TX
- Summer Davis
- Zach Davis
- Danny Brent Dawson
- Martha Orozco Day
- Dayrise Behavioral Healthcare
- Ronald F De la Fuente
- Stephanie De Los Santos
- Shelby De Luna
- Margot J. De Paz
- Veronica Dean
All providers in Allen, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.