Individual provider Active NPI

Dora Alicia Trevino, LCSW

  • Clinical Social Worker
  • Edinburg, TX
National Provider Identifier
1750530564
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50191 Issued in TX
Practice address
2655 Easy St
Edinburg, TX 78539-7385
Phone
(956) 682-4151
Fax
(956) 682-4154
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 50191 TX Primary

Addresses

Primary practice location

2655 Easy St
Edinburg, TX 78539-7385

Mailing address

2655 Easy St
Edinburg, TX 78539-7385
Phone (956) 682-4151

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
I20090724000126 TX Practitioner - Clinical Social Worker 3870646763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alivio Counseling Services PCGroup PAC ID 6103099338, 5 clinicians

Practice addresses (Care Compare)

3911 N 10TH St
Suite D
McAllen, TX 78501-2037
Phone (956) 595-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1750530564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 EASY ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397385",
            "telephone_number": "956-682-4151",
            "fax_number": "956-682-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 EASY ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397385",
            "telephone_number": "956-682-4151",
            "fax_number": "956-682-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "DORA",
        "middle_name": "ALICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.