Active NPI
William Carrasco, LMSW
- Clinical Social Worker
- Ysleta del Sur Pueblo, TX
National Provider Identifier
1588083091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 51238
- Practice address
- 9314 Juanchido LN
Ysleta del Sur Pueblo, TX 79907-6832 - Phone
- (915) 858-1076
- NPI assigned
- Apr 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 51238 | TX | Primary |
Addresses
Primary practice location
9314 Juanchido LN
Ysleta del Sur Pueblo, TX 79907-6832
Mailing address
12580 Angie Bombach Ave
El Paso, TX 79928-1752
Phone (915) 860-6170
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 |
|---|---|---|---|
| 51238 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1588083091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12580 ANGIE BOMBACH AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799281752",
"telephone_number": "915-860-6170",
"fax_number": "915-242-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9314 JUANCHIDO LN",
"city": "YSLETA DEL SUR PUEBLO",
"state": "TX",
"postal_code": "799076832",
"telephone_number": "915-858-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-11",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "51238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ysleta del Sur Pueblo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.