Active NPI
Gabriela Cervantes, LCSW
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1568038750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104391
- Practice address
- 8730 Boeing Dr
El Paso, TX 79925-1228 - Phone
- (915) 887-3410
- NPI assigned
- May 28, 2021
- Last updated
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104391 | TX | |
| Clinical Social Worker | 1041C0700X | 104391 | TX | Primary |
Addresses
Primary practice location
8730 Boeing Dr
El Paso, TX 79925-1228
Mailing address
201 E Main Dr Ste 600
El Paso, TX 79901-1385
Phone (915) 887-3410
Other practice location 1
201 E Main Dr Ste 600
El Paso, TX 79901-1385
Phone (915) 887-3410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104391 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Community MHMR | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Emergence Health Network
- Substance Use Disorder Rehabilitation Clinic/Center
- El Paso, TX
- NPI 1073968749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1568038750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MAIN DR STE 600",
"city": "EL PASO",
"state": "TX",
"postal_code": "799011385",
"telephone_number": "915-887-3410",
"fax_number": "915-351-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 BOEING DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251228",
"telephone_number": "915-887-3410"
}
],
"practiceLocations": [
{
"address_1": "201 E Main Dr Ste 600",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799011385",
"country_code": "US",
"telephone_number": "915-887-3410",
"fax_number": "915-351-4467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVANTES",
"first_name": "GABRIELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104391",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "104391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.