Athena Detrempe, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60004 Issued in TX

Practice address

200 Martin Luther King Blvd
Wichita Falls, TX 76301-1152

Phone

(940) 766-6306

Fax

(940) 761-1698

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Athena Zubizareta Former 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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428192000000",
    "number": "1922250869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763070720",
            "telephone_number": "940-766-6306",
            "fax_number": "940-761-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARTIN LUTHER KING BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-761-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETREMPE",
        "first_name": "ATHENA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2015-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW - 31620",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHENA",
            "last_name": "ZUBIZARETA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dept of Assistive & Rehab Serv - Wichita Falls Field Office
• Dermatology and Skin Cancer Center of Wichita Falls PLLC
• Katherine Deshazo, RN
• Lashell Deshong
• Andre Pothel Desire, MD
• Rohitkumar Devani
• Shreya Devarashetty, MD
• Dianne M Cooper MD PA
• Cesar Amilcar Diaz, LCDC, LPC
• Eva M Dickens

• Clinical Social Worker in Wichita Falls, TX
• Providers in Wichita Falls, 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 Apr 5, 2015; 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.