Active NPI
Bacilio H Padilla, LICSW
- Social Worker
- Yakima, WA
National Provider Identifier
1811057243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60282651
- Practice address
- 303 E D St
Yakima, WA 98901-2300 - Phone
- (509) 853-1300
- Fax
- (509) 966-3676
- NPI assigned
- Dec 8, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60282651 | WA | Primary |
Addresses
Primary practice location
303 E D St
Yakima, WA 98901-2300
Mailing address
303 E D St
Yakima, WA 98901-2300
Phone (509) 853-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304837 | Medicaid | WA |
Other names 1
- Bacilio Hernandez Padilla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63207 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Diocese of Yakima | Current | Accepting new patients | |
| Childrens Advocacy Center of Hidalgo County Inc | Past | Accepting new patients | |
| Mission Psychological Center, P.a. | Past | Accepting new patients |
Locations
145 S Worthen St
Wenatchee, WA 98801
Phone (509) 662-6712
5301 Tieton Dr
Ste C
Yakima, WA 98908
Phone (509) 965-7100
303 E D St
Yakima, WA 98901
Phone (509) 580-9303
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Yakima, WA
- NPI 1316248149
-
- Counselor
- Edinburg, TX
- NPI 1780853507
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission, TX
- NPI 1730219007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1811057243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E D ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012300",
"telephone_number": "509-853-1300",
"fax_number": "509-966-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E D ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012300",
"telephone_number": "509-853-1300",
"fax_number": "509-966-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "BACILIO",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60282651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304837",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BACILIO",
"last_name": "PADILLA",
"middle_name": "HERNANDEZ",
"credential": "LICSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.