Jacquelyn K Trevino, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106253 Issued in TX

Practice address

7804 Duber LN
Austin, TX 78747-2755

Phone

(512) 963-4550

NPI assigned

Jul 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1598498065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 DUBER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472755",
            "telephone_number": "512-963-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 DUBER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472755",
            "telephone_number": "512-963-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JACQUELYN",
        "middle_name": "K",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pwa.zoom.us/wc/home",
            "affiliation": "N",
            "endpointDescription": "zoom",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "therapy sessions",
            "address_1": "7804 Duber Ln",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787472755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Kenneth Trevino, MD
• Christina Trevino, PA-C
• Diandra Trevino, RBT
• Eduardo Trevino, RD
• Emily Lucianne Trevino
• Jessica Trevino, LMT
• Jessica Marie Trevino, M.D.
• Johanna Isela Trevino
• Jonathan Trevino, LPC
• Kayla Trevino, MS, RD, LD

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.