Active NPI
San Juanita Zoila Trevino, MSW, LCSW
- Social Worker
- Killeen, TX
National Provider Identifier
1891802799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29472
- Practice address
- 411 E Vega LN
Killeen, TX 76542-6428 - Phone
- (512) 972-6240
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- 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 | 29472 | TX | Primary |
Addresses
Primary practice location
411 E Vega LN
Killeen, TX 76542-6428
Mailing address
411 E Vega LN
Killeen, TX 76542-6428
Phone (512) 627-1374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Austin | Past | Accepting new patients | |
| Central Texas Community Health Centers | Past | Accepting new patients |
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.
-
dba CommUnityCare
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
-
dba City of Austin Office of Chief Medical Officer
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1891802799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E VEGA LN",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426428",
"telephone_number": "512-627-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E VEGA LN",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426428",
"telephone_number": "512-972-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "SAN JUANITA",
"middle_name": "ZOILA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "29472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.