Irasema Bautista-Avila, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110855 Issued in TX

Practice address

231 Amber Dr
Weslaco, TX 78596-8589

Phone

(956) 406-7020

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Irasema Avila Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1871043943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785991895",
            "telephone_number": "956-406-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 AMBER DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785968589",
            "telephone_number": "956-406-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-AVILA",
        "first_name": "IRASEMA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "110855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRASEMA",
            "last_name": "AVILA",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Tomasa Barco, PTA
• Lucy Barrachina
• Fatima Thaily Barrera Gomez, M.S., CF-SLP
• Marissa Barrera
• Mery Beatriz Bartl, MD
• Jose Dario Bejarano, M.D.
• Fatimah Oluwakemi Bello, MD, MPH
• Kevin Belsole, PT, DPT
• Antonia Benavidez, FNP-BC
• Lori Ann Benavidez, OTR

• Social Worker in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.