Individual provider Active NPI

Anastasia Zacour, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1902406820
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103955 Issued in TX
Practice address
10737 Gateway Blvd W Ste 204
El Paso, TX 79935-4910
Phone
(915) 286-6370
NPI assigned
Oct 29, 2020
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 103955 TX Primary

Addresses

Primary practice location

10737 Gateway Blvd W Ste 204
El Paso, TX 79935-4910

Mailing address

217 Zenith Dr
El Paso, TX 79912-6031
Phone (915) 494-0790

Other practice location 1

3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338

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

State licenses

LicenseStateTypeSpecialty
103955TXMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Psychiatric Associates PA PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1902406820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ZENITH DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126031",
            "telephone_number": "915-494-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 GATEWAY BLVD W STE 204",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354910",
            "telephone_number": "915-286-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 McNutt Rd",
            "address_purpose": "LOCATION",
            "city": "Sunland Park",
            "state": "NM",
            "postal_code": "880639056",
            "country_code": "US",
            "telephone_number": "575-915-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACOUR",
        "first_name": "ANASTASIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.