Organization Active NPI

Lulac Project Amistad

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1629582028
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LULAC PROJECT AMISTAD
Practice address
3210 Dyer St
El Paso, TX 79930-6230
Phone
(915) 298-7304
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Denise Apodaca
Title
Adtrc Supervisor
Phone
(915) 298-1172

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Clinic/Center 261Q00000X

Addresses

Primary practice location

3210 Dyer St
El Paso, TX 79930-6230

Mailing address

3210 Dyer St
El Paso, TX 79930-6230

National Provider Directory

National Provider Directory

Locations

3210 Dyer St
El Paso, TX 79930
Phone (915) 298-7307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1629582028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 DYER ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799306230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 DYER ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799306230",
            "telephone_number": "915-298-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULAC PROJECT AMISTAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADTRC SUPERVISOR",
        "authorized_official_telephone_number": "915-298-1172"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 2, 2026; 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.