ANDREA ROCHELLE CARRILLO (NPI# 1346807708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346807708 |
| Entity Type | Individual |
| Full Name | ANDREA ROCHELLE CARRILLO |
| Practice Address |
6104 Avenue Q South Dr Lubbock TX 79412-3700 |
| Mailing Address |
4747 48th St Lubbock TX 79414-3503 |
| Practice Telephone | 8064723400 |
| Mailing Telephone | 8062392045 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 62043 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622810 | Andrea Carrillo | Nurse's Aide | 301 Union St, Hackensack, NJ 07601-4304 | 2020-06-05 |
| 1306301551 | Andrea Diane Carrillo | Nurse Practitioner | 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 | 2019-02-01 |
| Street Address |
6104 AVENUE Q SOUTH DR |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202999 | Timothy A Mazzolini | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2005-08-10 |
| 1316567670 | Wanda Jean Howard | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-04-16 |
| 1760014112 | Fabian Carmona | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-02-04 |
| 1205394285 | Courtney E Walraven | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-03-07 |
| 1487120283 | Ericka Ann Comer | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-18 |
| 1003382078 | Malory Shanks | Nurse Practitioner | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-17 |
| 1891271524 | Beverly Lynn Jones | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-07-16 |
| 1699210237 | Frances Shaw | Physical Therapist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-05 |
| 1437694130 | Brittney Marie Williamson | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
| 1376088062 | Kathy Duc Le | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667387 | Ashley Kuehl | Social Worker | 3304 40th St, Lubbock, TX 79413-2728 | 2020-04-10 |
| 1598277576 | Leonard Matthew Warren | Social Worker | 5713 91st St, Lubbock, TX 79424-4522 | 2017-10-30 |
| 1407200850 | Elizabeth Hooser | Social Worker | 4705 66th St, Lubbock, TX 79414-4841 | 2016-04-21 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1043621287 | Ashley Hoffman | Social Worker | 14 Briercroft Office Park, Lubbock, TX 79412-3035 | 2014-05-09 |
| 1033460373 | Latonia S Pollard | Social Worker | 9205 Turner Ave, Lubbock, TX 79424-1189 | 2012-09-26 |
| 1881651776 | David Schroeder | Social Worker | 3601 4th Street, Mail Stop 6225, Lubbock, TX 79430-6225 | 2006-04-26 |
| 1104810365 | James Edward Ferguson | Social Worker | 8501 Joliet Ave, Lubbock, TX 79423-2628 | 2005-09-02 |
| 1336132661 | Valerie Gayle Cox | Social Worker | 6709 7th St, Lubbock, TX 79416-3774 | 2005-08-23 |
| 1295254571 | Ian Cole Watts | Social Worker | 4913 S Loop 289 Ste 100, Lubbock, TX 79424-1630 | 2017-09-18 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.