Enedina Elisa Enriquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28207 Issued in TX

Practice address

908 E Ferguson St
Pharr, TX 78577-2614

Phone

(956) 342-4354

Fax

(956) 602-1271

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TX

  Medicare reassignment NPD
• Kindred Spirit Latino Center for Grief and Loss, LLC

  • Clinical Social Worker
  • Pharr, TX
  • NPI 1437880283
  NPD Authorized official
• Kindred Spirit Social & Community Services

  • Social Worker
  • San Juan, TX
  • NPI 1568689693
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1891704052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E FERGUSON ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772614",
            "telephone_number": "956-342-4354",
            "fax_number": "956-602-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E FERGUSON ST",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772614",
            "telephone_number": "956-342-4354",
            "fax_number": "956-602-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ENEDINA",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-06-10",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "28207",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "28207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178473807",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharr",
            "affiliation": "N",
            "endpointDescription": "Health Information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "managing information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "forms and data",
            "address_1": "4200 N Raul Longoria Rd",
            "city": "San Juan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785893680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eight Lac Inc
• Eldorado Texas Community Service
• Eldorado Texas Community Service Center
• Eldorado Texas Community Service Center
• Enr Investments LLC
• Epic Health Services, Inc.
• Epic Health Services, Inc.
• Jennifer Lea Escareno, PT, DPT
• Claudia Escobedo
• Esguerra and Rebugio Enterprise LLC

• Clinical Social Worker in Pharr, TX
• Providers in Pharr, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.