Active NPI
Graciela Duenas Primero, LCSW
- Clinical Social Worker
- El Paso, TX
National Provider Identifier
1942454582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 53674
- Practice address
- 5001 N Piedras St
El Paso, TX 79930-4210 - Phone
- (915) 564-6100
- NPI assigned
- Nov 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-06463 | NM | |
| Clinical Social Worker | 1041C0700X | 53674 | TX | Primary |
Addresses
Primary practice location
5001 N Piedras St
El Paso, TX 79930-4210
Mailing address
5001 N Piedras St
El Paso, TX 79930-4210
Phone (915) 564-6100
Other practice location 1
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VNM30451NI | Medicaid | NM |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-06463 | NM | MD | Social Worker |
| 53674 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunwest Behavioral Associates PA | Past | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- El Paso, TX
- NPI 1053578021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1942454582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
}
],
"practiceLocations": [
{
"address_1": "6621 Doniphan Dr Ste G",
"address_purpose": "LOCATION",
"city": "Canutillo",
"state": "TX",
"postal_code": "798355005",
"country_code": "US",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIMERO",
"first_name": "GRACIELA",
"middle_name": "DUENAS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-06463",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "53674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VNM30451NI",
"state": "NM"
}
],
"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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.