RAQUEL SALINAS LCSW
NPI 1255869749
Social Worker - Clinical in Temple, TX

NPI Status: Active since May 26, 2017

Contact Information

304 S 22ND ST
TEMPLE, TX
ZIP 76501
Phone: (254) 778-4841

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  • Individual
  • Female
  • Years of Experience 15
  • Social Worker
  • Clinical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RAQUEL SALINAS

This page provides the complete NPI Profile along with additional information for Raquel Salinas, a provider established in Temple, Texas with a medical specialization in Social Worker, focusing in clinical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1255869749 assigned on May 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 58084 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1255869749
Provider Name
RAQUEL SALINAS LCSW
Gender
Female
Entity Type
Individual
Location Address
304 S 22ND ST TEMPLE, TX 76501
Location Phone
(254) 778-4841
Mailing Address
9102 WOODGATE CIR E WACO, TX 76712
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
05-26-2017
Last Update Date
05-26-2017
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A clinical social worker like Raquel Salinas is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
58084
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite VALUE Bronze - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Raquel Salinas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Raquel Salinas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597035790

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170720002535

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.13 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RAQUEL SALINAS LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255869749
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051661878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 6 + 1 + 8 + 7 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1255869749 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790744977MRS. SHARON KAY SWEATT MA, LPC, LPA
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1740249549MRS. BEVERLY CAGLE HILL RN, LCSW
Individual
Social Worker (Clinical)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1619936432MRS. LINDA MARIE BROWN LPC
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1720048465MS. ANNA SUSAN GJERTSON LPC
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7042
1265493670MS. PATRICIA LOUISE ROY-JOLLY LPC
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1821059247MRS. GLORIA C SMITH RN
Individual
Registered Nurse304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7065
1184687683 VEENA GHAI MD
Individual
Psychiatry & Neurology (Psychiatry)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7080
1174588271MR. STANLEY DEAN PRICE LPC
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 697-6631
1841499407MR. KELLY R SPEER LPC
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1912271727MR. CARLOS MICHAEL SANCHEZ M.A., L.P.C.
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7068
1215366786 JOSHUA NEAL TAUBE LPC
Individual
Counselor (Mental Health)304 S 22ND ST 317 N. 2ND ST.
TEMPLE, TX 76501
(281) 782-0954
1154738649MR. DAVID WHITTEN MA
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1093119349 JAMES ARNOLD L.P.C
Individual
Counselor (Mental Health)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1932593258 NIEN-TZU FENG LPC, LSOTP
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7000
1639501521 FRANKLIN ALBERT ZEPP LPC
Individual
Counselor (Mental Health)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7171
1578918306 ERICA COPELAND LPC
Individual
Counselor304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7065
1558711036 KRISTEN ZAJICEK B.C.B.A.
Individual
Behavior Analyst304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7100
1962776179MS. TEKESHA BLAND M.ED.
Individual
Counselor (Mental Health)304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7159
1023501939CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS
Organization
Family Medicine304 S 22ND ST
TEMPLE, TX 76501
(254) 298-7019
1831755719 KIMBERLY MILLIKEN
Individual
Counselor (Professional)304 S 22ND ST
TEMPLE, TX 76501
(254) 778-4841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255869749, enumerated in the NPI registry as an "individual" on May 26, 2017

The provider is located at 304 S 22nd St Temple, Tx 76501 and the phone number is (254) 778-4841

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.