Active NPI
Tricia D Flake, LCSW, ASOTP
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1750010849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63231
- Practice address
- 1310 Montana Ave
El Paso, TX 79902-5578 - Phone
- (915) 218-9138
- NPI assigned
- Jun 6, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63231 | TX | Primary |
Addresses
Primary practice location
1310 Montana Ave
El Paso, TX 79902-5578
Mailing address
4753 R L Shoemaker Dr
El Paso, TX 79924-6901
Phone (334) 447-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63231 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1750010849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4753 R L SHOEMAKER DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246901",
"telephone_number": "334-447-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MONTANA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025578",
"telephone_number": "915-218-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAKE",
"first_name": "TRICIA",
"middle_name": "D",
"credential": "LCSW, ASOTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at The Montevista at Coronado)
- Amina Fix
- Bess Sirmon Fjordbak, PHD, CCC-SLP
- Skylyn Elizabeth Borne Flageolle
- Stephen Francis Flaherty, MD
- Dominique Flambert-Velcime
- Alexandros Nicolaou Flaris, MD
- Melissa Yvette Flavian, M.A., CCC-SLP
- Rhonda V Fleming, M.D.
- Yasheena Renee Flemming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.