Individual provider Active NPI

Rachel Villalon, LCSW

  • Clinical Social Worker
  • Temple, TX
National Provider Identifier
1417539941
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54965 Issued in TX
Practice address
6015 Ambrose Cir
Temple, TX 76502-4406
Phone
(936) 433-4447
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 54965 TX Primary

Addresses

Primary practice location

6015 Ambrose Cir
Temple, TX 76502-4406

Mailing address

6015 Ambrose Cir
Temple, TX 76502-4406

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
I20210709002685 TX Practitioner - Clinical Social Worker 7810399003 Reassigns benefits to 2 organizations
Practice locations: Cameron, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

610 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-2551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cahrmc CurrentSince Sep 3, 2024 Accepting new patients
Cahrmc CurrentSince Sep 3, 2024 Accepting new patients
Oria, LLC CurrentSince Sep 30, 2021 Accepting new patients

Locations

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

610 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-2551

1011 S Dill St
East Bernard, TX 77435
Phone (979) 335-4433

3106 S W S Young Dr
Ste B202
Killeen, TX 76542
Phone (254) 628-0056

Organizations & group practices 3

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1417539941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 AMBROSE CIR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 AMBROSE CIR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024406",
            "telephone_number": "936-433-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.