CAMINO REAL COMMUNITY MHMR CENTER
NPI 1487751715
Social Worker - Clinical in Lytle, TX

NPI Status: Active since September 20, 2006

Contact Information

19965 FM 3175 NORTH
LYTLE, TX
ZIP 78052
Phone: (210) 357-0300
Fax: (210) 357-0458

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  • Organization
  • Social Worker
  • Clinical
  • CLIA Number: 45D1105240
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 09-20-2025

About CAMINO REAL COMMUNITY MHMR CENTER

This page provides the complete NPI Profile along with additional information for Camino Real Community Mhmr Center, a provider established in Lytle, Texas operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1487751715 assigned on September 2006. The practitioner's primary taxonomy code is 1041C0700X with license number NONE (). The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Andrea Corona (Reimbursement Specialist)

NPI
1487751715
Provider Name
CAMINO REAL COMMUNITY MHMR CENTER
Entity Type
Organization
Location Address
19965 FM 3175 NORTH LYTLE, TX 78052
Location Phone
(210) 357-0300
Location Fax
(210) 357-0458
Mailing Address
PO BOX 725 LYTLE, TX 78052
Mailing Phone
(210) 357-0300
Mailing Fax
(210) 357-0458
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
07-17-2025
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A clinical social worker like Camino Real Community Mhmr Center 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.
NONE
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREA CORONA

Authorized Official Title
REIMBURSEMENT SPECIALIST
Authorized Official Phone
(210) 357-0369

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
121990902MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1105240
Facility Type
Other
Certificate Effective Date
September 21, 2023
Certificate Expiration Date
September 20, 2025
Laboratory Director
MARCELO VILLARREAL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Camino Real Community Mhmr Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CAMINO REAL COMMUNITY MHMR CENTER

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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.
1487751715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167145272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 5 + 2 + 7 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1487751715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447334651 VERONICA SANCHEZ LPC
Individual
Counselor (Professional)19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0300
1154448066 MARY KATHRYN STAMP SLP
Individual
Speech-Language Pathologist19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1629195474 LAURI K. STAPLES OT
Individual
Occupational Therapist19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1326165176 KELLY LEE OLIVE PT
Individual
Physical Therapist19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1215054069 SYLVIA SALINAS MARTINEZ SLP
Individual
Speech-Language Pathologist19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1376743211 LINDA V. LANE LPC
Individual
Counselor (Mental Health)19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1033208327CAMINO REAL COMMUNITY MHMR CENTER
Organization
Case Management19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0300
1700976818CAMINO REAL COMMUNITY MHMR CENTER
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0300
1710102330CAMINO REAL COMMUNITY MHMR CENTER
Organization
Day Training, Developmentally Disabled Services19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1952526576CAMINO REAL COMMUNITY MHMR CENTER
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0369
1154411262CAMINO REAL COMMUNITY MHMR CENTER
Organization
Case Management19965 FM 3175 NORTH
LYTLE, TX 78052
(210) 357-0300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487751715, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 19965 Fm 3175 North Lytle, Tx 78052 and the phone number is (210) 357-0300

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D1105240 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 20, 2006. 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.