Individual provider Active NPI

Isaac Esquivel, LCSW

  • Clinical Social Worker
  • Southlake, TX
National Provider Identifier
1477200889
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65422 Issued in TX
Practice address
245 West Highway 114, Suite 200
Southlake, TX 76092
Phone
(877) 504-8904
Fax
(855) 420-6402
NPI assigned
Mar 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X 65422 TX Primary

Addresses

Primary practice location

245 West Highway 114, Suite 200
Southlake, TX 76092

Mailing address

516 Taylor Dr
Rockwall, TX 75087-0508
Phone (469) 264-1616

Other identifiers 1

IdentifierTypeStateIssuer
1477200889OtherTXNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isaac.esquivel@mindpath.com

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
I20250721004286 TX Practitioner - Clinical Social Worker 5799291332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65422TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care Current Accepting new patients
Texas Health Virtual Care CurrentSince Aug 1, 2025 Accepting new patients
Mark David Levine, MD Psychiatrists Professional Corporation Mental Health PastSince Jul 31, 2022 Accepting new patients

Locations

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

Interoperability endpoints

  • Direct secure messaging: isaac.esquivel.1@30520.direct.athenahealth.com

Organizations & group practices 6

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": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1477200889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TAYLOR DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870508",
            "telephone_number": "469-264-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WEST HIGHWAY 114, SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "877-504-8904",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL",
        "first_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-05",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477200889",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isaac.esquivel@mindpath.com",
            "affiliation": "N",
            "address_1": "245 West Highway 114, Suite 200",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.