Individual provider Active NPI

Vanessa Rae Caraveo, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1831915438
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109266 Issued in TX
Practice address
2150 Trawood Dr Ste B161
El Paso, TX 79935-3322
Phone
(915) 832-1702
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 109266 TX Primary

Addresses

Primary practice location

2150 Trawood Dr Ste B161
El Paso, TX 79935-3322

Mailing address

2150 Trawood Dr Ste B161
El Paso, TX 79935-3322

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
I20250123001158 TX Practitioner - Clinical Social Worker 6507395381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109266TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Forward Health Center, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Southwest Neuropsychiatry Association PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

2150 Trawood Dr
#B161
El Paso, TX 79935
Phone (915) 779-9934

2150 Trawood Dr
Ste B161
El Paso, TX 79935
Phone (915) 832-1702

Organizations & group practices 2

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": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1831915438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE B161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353322",
            "telephone_number": "915-832-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVEO",
        "first_name": "VANESSA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.