MS. LISSETTE ANGELICA AMPARAN (NPI# 1104423656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104423656 |
| Entity Type | Individual |
| Full Name | MS. LISSETTE ANGELICA AMPARAN |
| Credential | LCSW |
| Practice Address |
4875 Maxwell Ave El Paso TX 79904-1559 |
| Mailing Address |
3607 Rivera Ave El Paso TX 79905-2415 |
| Practice Telephone | 9155337057 |
| Mailing Telephone | 9155337057 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
64581 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4875 MAXWELL AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79904-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609973221 | Audree Jean Reynolds | Nurse Practitioner | 4875 Maxwell Ave, El Paso, TX 79904-1450 | 2006-09-17 |
| 1881034395 | Sandra Villavicencio | Family Medicine | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2013-06-28 |
| 1770895815 | Daniel William Sudimack | Dentist | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2010-07-06 |
| 1992016620 | Crystal Estrada | Dentist | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
| 1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
| 1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
| 1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
| 1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
| 1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
| 1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
| Find all providers in zip 79904 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750189 | Nikkie Alan Rice | Social Worker | 6034 Laguna Vista Dr, El Paso, TX 79932-4109 | 2020-11-07 |
| 1003434150 | Strength In Action LLC | Social Worker | 5941 Fiesta Dr, El Paso, TX 79912-5254 | 2020-07-06 |
| 1316562853 | Amber Yamel Chavez | Social Worker | 796 Lincolnshire St, El Paso, TX 79928-2220 | 2020-06-10 |
| 1477190783 | Daryl E. Stevens Sr. | Social Worker | 2415 Carrington Rd, El Paso, TX 79916 | 2019-12-05 |
| 1891338828 | Sara Ann Kamalipour | Social Worker | 2400 Trawood Dr Ste 200, El Paso, TX 79936-4122 | 2019-10-22 |
| 1437639424 | Kendra Kabongo-faroul | Social Worker | 3757 Coco Palm, El Paso, TX 79936-2167 | 2018-08-19 |
| 1154836898 | Weylin Burlingame | Social Worker | 154 N Festival Dr Ste B, El Paso, TX 79912-6265 | 2017-12-04 |
| 1871014720 | Elisa Elena Gonzalez | Social Worker | 500 N Piedras St, El Paso, TX 79903-4015 | 2017-06-30 |
| 1770021628 | Katia Esther Paredes | Social Worker | 1805 Kentucky St, El Paso, TX 79930-1511 | 2017-02-10 |
| 1841733599 | Monica Maria Martinez | Social Worker | 7717 Nardo Goodman Dr, El Paso, TX 79912-8441 | 2016-11-29 |
| Find all providers in EL PASO | ||||
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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.