Individual provider Active NPI

Julia R Trevino, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649458027
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091791 Issued in NY
Practice address
160 E 89TH St
New York, NY 10128-2305
Phone
(917) 862-5416
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091791 NY Primary
Clinical Social Worker 1041C0700X 36005 TX

Addresses

Primary practice location

160 E 89TH St
New York, NY 10128-2305

Mailing address

450 Lexington Ave Unit 2568
New York, NY 10163-9679

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

LicenseStateTypeSpecialty
36005TXMDClinical Psychologist
091791NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Into the Roots Therapy, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Vcounselors PLLC PastSince May 16, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Hector R. Trevino, M.D., P.a. Past Accepting new patients

Locations

4203 Gardendale St
Ste C206
San Antonio, TX 78229
Phone (210) 549-7350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22810/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1649458027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LEXINGTON AVE UNIT 2568",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101639679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 89TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282305",
            "telephone_number": "917-862-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JULIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091791",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.