Individual provider Active NPI

Esmeralda Essie Nigo, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1649821562
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34469 Issued in TX
Practice address
2604 San Gabriel Dr
Plano, TX 75074-3432
Phone
(972) 849-6368
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34469 TX Primary

Addresses

Primary practice location

2604 San Gabriel Dr
Plano, TX 75074-3432

Mailing address

2604 San Gabriel Dr
Plano, TX 75074-3432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030002519 TX Practitioner - Clinical Social Worker 6002148731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

400 N Allen Dr
Allen, TX 75013-2568
Phone (972) 233-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34469TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

100 Allentown Pkwy
Ste 206
Allen, TX 75002

400 N Allen Dr
Ste 204
Allen, TX 75013

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.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1649821562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAN GABRIEL DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAN GABRIEL DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743432",
            "telephone_number": "972-849-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGO",
        "first_name": "ESMERALDA",
        "middle_name": "ESSIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.