Active NPI
Yazari Cedillo Alvizo, LMSW
- Social Worker
- Kilgore, TX
National Provider Identifier
1689551285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115715
- Practice address
- 2019 S Henderson Blvd Unit 15
Kilgore, TX 75662-3567 - Phone
- (903) 985-7488
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 115715 | TX | Primary |
Addresses
Primary practice location
2019 S Henderson Blvd Unit 15
Kilgore, TX 75662-3567
Mailing address
2019 S Henderson Blvd
Kilgore, TX 75662-3567
Phone (903) 985-7444
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115715 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1689551285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 S HENDERSON BLVD",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623567",
"telephone_number": "903-985-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 S HENDERSON BLVD UNIT 15",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623567",
"telephone_number": "903-985-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDILLO ALVIZO",
"first_name": "YAZARI",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "115715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.