Individual provider Active NPI

Paola Mercedes Moreno Wazlavek, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1982914941
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10576 Issued in NM
Practice address
4900 Cattle LN
El Paso, TX 79934-2835
Phone
(915) 487-6828
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9414 FL
Clinical Social Worker 1041C0700X 111985 TX
Clinical Social Worker 1041C0700X C-10576 NM Primary

Addresses

Primary practice location

4900 Cattle LN
El Paso, TX 79934-2835

Mailing address

4900 Cattle LN
El Paso, TX 79934-2835
Phone (915) 487-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20231129000801 NM Practitioner - Clinical Social Worker 3870984792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9414FLMDClinical Social Worker
111985TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC Clinical CurrentSince Jul 19, 2023 Accepting new patients
NM Integrated Solutions CurrentSince Sep 5, 2023 Accepting new patients
NM Family Services LLC CurrentSince Jul 19, 2023 Accepting new patients
Psyc Masters PLLC Clinical CurrentSince Mar 30, 2025 Accepting new patients
Southwest Therapeutics LLC Clinical Past Accepting new patients

Locations

5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1982914941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CATTLE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342835",
            "telephone_number": "915-487-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CATTLE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342835",
            "telephone_number": "915-487-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO WAZLAVEK",
        "first_name": "PAOLA",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.