Active NPI
Gabriel Carrillo
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1790698348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119653
- Practice address
- 6208 Surety Dr Ste a
El Paso, TX 79905 - Phone
- (915) 544-3500
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 119653 | TX | Primary |
Addresses
Primary practice location
6208 Surety Dr Ste a
El Paso, TX 79905
Mailing address
709 Brinkman Dr
San Elizario, TX 79849-7444
Phone (915) 202-3740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1790698348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 BRINKMAN DR",
"city": "SAN ELIZARIO",
"state": "TX",
"postal_code": "798497444",
"telephone_number": "915-202-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6208 SURETY DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-544-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "119653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.