Individual provider Active NPI

Pauline Velez, LCSW

  • Clinical Social Worker
  • Quanah, TX
National Provider Identifier
1992935399
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30172 Issued in TX
Practice address
200 W 5TH St
Quanah, TX 79252-4704
Phone
(940) 663-2100
Fax
(940) 663-2150
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 30172 TX Primary

Addresses

Primary practice location

200 W 5TH St
Quanah, TX 79252-4704

Mailing address

200 W 5TH St
Quanah, TX 79252-4704
Phone (940) 663-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200520000023 TX Practitioner - Clinical Social Worker 9436580826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontera Healthcare NetworkGroup PAC ID 8426142522, 7 clinicians

Practice addresses (Care Compare)

119 S Ellis
Menard, TX 76859-9998
Phone (325) 396-4612

2026 S Bridge St
Brady, TX 76825-7421
Phone (325) 597-0102

216 E College
Mason, TX 76856-3104
Phone (325) 347-5926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontera Healthcare Network Current Accepting new patients
Frontera Healthcare Network CurrentSince Apr 12, 2023 Accepting new patients
Frontera Healthcare Network Past Accepting new patients

Locations

2026 S Bridge St
Brady, TX 76825
Phone (325) 597-0102

1003 College St
Junction, TX 76849
Phone (325) 446-3233

Interoperability endpoints

  • Direct secure messaging: pauline.velez.p6@direct.chdi.nextgenshare.com

Organizations & group practices 3

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1992935399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 5TH ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792524704",
            "telephone_number": "940-663-2100",
            "fax_number": "940-663-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 5TH ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792524704",
            "telephone_number": "940-663-2100",
            "fax_number": "940-663-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quanah, TX

Sources for this page

Verify at the official NPI Registry.