MS. ANDREA ELVA MARQUEZ MSW, LCSW
NPI 1225335110
Social Worker - Clinical in Austin, TX

NPI Status: Active since February 11, 2011

Contact Information

2525 WALLINGWOOD DR
BUILDING 1, SUITE 250
AUSTIN, TX
ZIP 78746
Phone: (512) 417-9048
Fax: (512) 551-9658

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Accepts Insurance
  • PECOS Enrolled

About ANDREA MARQUEZ

This page provides the complete NPI Profile along with additional information for Andrea Marquez, a provider established in Austin, Texas with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1225335110 assigned on February 2011. The practitioner's primary taxonomy code is 1041C0700X with license number 51013 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1225335110
Provider Name
MS. ANDREA ELVA MARQUEZ MSW, LCSW
Gender
Female
Entity Type
Individual
Location Address
2525 WALLINGWOOD DR BUILDING 1, SUITE 250 AUSTIN, TX 78746
Location Phone
(512) 417-9048
Location Fax
(512) 551-9658
Mailing Address
2525 WALLINGWOOD DR BUILDING 1, SUITE 250 AUSTIN, TX 78746
Mailing Phone
(512) 417-9048
Mailing Fax
(512) 551-9658
Is Sole Proprietor?
Yes
Enumeration Date
02-11-2011
Last Update Date
05-07-2024
Code Navigator

A clinical social worker like Andrea Marquez 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.

Location Map

Secondary Locations

  • 7719 Wood Hollow Dr Ste 201
    Austin, TX 78731
    (512) 610-7719

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.
51013
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
  • 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
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • 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 Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - 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

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

Medicare Participation & PECOS Enrollment Status

Andrea Marquez 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

  • 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 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 78746 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 $57.88
  • Maximum New Patient Price $174
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.47
  • Maximum New Patient Copayment $43.5

Established Patients Visit Costs *

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

  • Average Established Patient Price $71.95
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.23
  • Average Established Patient Copayment $17.98
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.55

* 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 MS. ANDREA ELVA MARQUEZ MSW, 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.
1225335110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245631012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 6 + 3 + 1 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1225335110 is valid because the calculated check digit 0 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.

DR. TERESA ELISE ORMAN PH.D.

Psychologist

(Clinical)

2525 WALLINGWOOD DR
SUITE 13 B
AUSTIN, TX
ZIP 78746

(512) 892-9355

DONALD J DANIELS DC

Chiropractor

2525 WALLINGWOOD DR
STE 1 B
AUSTIN, TX
ZIP 78746

(512) 306-0211

MS. LYNNE SUE ARIAL LPC

Counselor

(Professional)

2525 WALLINGWOOD DR
BLDG. 13, STE. B
AUSTIN, TX
ZIP 78746

(512) 560-8703

DR. THOMAS GREGORY KREMER PH.D.

Psychologist

(Clinical)

2525 WALLINGWOOD DR
SUITE 124
AUSTIN, TX
ZIP 78746

(512) 329-0017

MS. JOAN MARIE ANDERSON M.S., LPC

Counselor

(Mental Health)

2525 WALLINGWOOD DR
BLDG. 9, STE. 900
AUSTIN, TX
ZIP 78746

(512) 732-2686

DR. MICHAEL CALDWELL BELL DDS

Dentist

(General Practice)

2525 WALLINGWOOD DR
BUILDING 11
AUSTIN, TX
ZIP 78746

(512) 327-7750

DR. SUSAN CASSANO PH.D.

Psychologist

2525 WALLINGWOOD DR
SUITE 701
AUSTIN, TX
ZIP 78746

(512) 327-4170

CHRISTY MICHELLE SHEPHERD

Speech-Language Pathologist

2525 WALLINGWOOD DR
BLDG 2
AUSTIN, TX
ZIP 78746

(512) 327-6179

MS. MEGAN VIRGINIA LOWE MACCC SLP

Speech-Language Pathologist

2525 WALLINGWOOD DR
BLDG B
AUSTIN, TX
ZIP 78746

(512) 327-6179

DR. CATHERINE CARROLL DANIELL PSYCHOLOGIST

Psychologist

2525 WALLINGWOOD DR
BLDG. 1 SUITE 124
AUSTIN, TX
ZIP 78746

(512) 347-8424

ALINE GAUBERT L.P.C., L.C.D.C.

Counselor

(Addiction (Substance Use Disorder))

2525 WALLINGWOOD DR
B-1, #130
AUSTIN, TX
ZIP 78746

(512) 560-2584

MS. BARBARA JO STETZELBERGER LCSW, DTR

Social Worker

(Clinical)

2525 WALLINGWOOD DR
SUITE 700
AUSTIN, TX
ZIP 78746

(512) 301-0452

TERRY ANN ALLBRIGHT M.ED., LPC, RNC

Counselor

(Professional)

2525 WALLINGWOOD DR
BUILDING 3, SUITE 301
AUSTIN, TX
ZIP 78746

(512) 983-7306

MS. JOANNE MARIE O'NEILL LPC, LMFT

Marriage & Family Therapist

2525 WALLINGWOOD DR
BUILDING 9
AUSTIN, TX
ZIP 78746

(512) 478-6177

CHANTEL ROXANN ACOSTA-SAUBON

Social Worker

(Clinical)

2525 WALLINGWOOD DR
AUSTIN, TX
ZIP 78746

(512) 789-6689

KATHLEEN S SNYDER M.S.ED.

Counselor

(Mental Health)

2525 WALLINGWOOD DR
BLDG 8, STE 801
AUSTIN, TX
ZIP 78746

(512) 329-6993

MS. GAIL ELIZABETH GIBBONS

Counselor

(Professional)

2525 WALLINGWOOD DR
SUITE 700
AUSTIN, TX
ZIP 78746

(512) 327-6860

FABIANNA L LABY PSYD

Psychologist

2525 WALLINGWOOD DR
SUITE 301
AUSTIN, TX
ZIP 78746

(512) 638-3555

MRS. RACHEL N. TRUDELL LCSW

Social Worker

(Clinical)

2525 WALLINGWOOD DR
#124
AUSTIN, TX
ZIP 78746

(512) 327-0804

MS. CAROLYN POOLE MED., LPC

Counselor

(Professional)

2525 WALLINGWOOD DR
BLDG. 3, SUITE 301
AUSTIN, TX
ZIP 78746

(512) 327-2272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225335110, enumerated as an "individual" on February 11, 2011.

The provider is located at 2525 WALLINGWOOD DR BUILDING 1, SUITE 250 AUSTIN, TX 78746 and the phone number is (512) 417-9048.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Aetna CVS Health, Baylor Scott and White Health. Please consult your insurance carrier or call the provider to verify.