Individual provider Active NPI

Eliza Victoria Mendoza, LCSW/LISW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1659416089
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51758 Issued in TX
Practice address
7461 Umbria Dr
El Paso, TX 79904-3506
Phone
(915) 490-5440
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 51758 TX Primary
Social Worker 104100000X I06655 TX

Addresses

Primary practice location

7461 Umbria Dr
El Paso, TX 79904-3506

Mailing address

7461 Umbria Dr
El Paso, TX 79904-3506
Phone (915) 490-5440

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
I20170505000143 TX Practitioner - Clinical Social Worker 7517244262 Reassigns benefits to 2 organizations
Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

4903 82ND St
Suite 60
Lubbock, TX 79424-3123
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I06655TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Feb 27, 2018 Accepting new patients
Thrive Counseling LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1155 Westmoreland Dr
Ste 103
El Paso, TX 79925
Phone (240) 786-2329

223 S Resler Dr
El Paso, TX 79912
Phone (915) 584-9417

2301 N Oregon St
El Paso, TX 79902
Phone (888) 796-8996

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1659416089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 UMBRIA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043506",
            "telephone_number": "915-490-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 UMBRIA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043506",
            "telephone_number": "915-490-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ELIZA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW/LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51758",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "I06655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.