Individual provider Active NPI

Rebecca May Clinton, LCSW

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1003054891
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
67380 Issued in TX
Practice address
2130 NE Loop 410 Ste 100
San Antonio, TX 78217-4660
Phone
(210) 656-7177
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 67380 TX Primary

Addresses

Primary practice location

2130 NE Loop 410 Ste 100
San Antonio, TX 78217-4660

Mailing address

911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other names 1

  • Rebecca May Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220120000467 TX Practitioner - Clinical Social Worker 1456743624 Reassigns benefits to 3 organizations
I20230822002743 OH Practitioner - Clinical Social Worker 1456743624 Reassigns benefits to 2 organizations
I20230913001012 CO Practitioner - Clinical Social Worker 1456743624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67380TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 15, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 9, 2023 Accepting new patients
Texas Oncology PA CurrentSince Jun 5, 2025 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • TX HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • NM HMO C-SNP
  • CO HMO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • CO HMO D-SNP
  • KY PPO C-SNP
  • TX HMO D-SNP
  • OH PPO
  • KY PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1003054891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NE LOOP 410 STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174660",
            "telephone_number": "210-656-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "REBECCA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FORD",
            "middle_name": "MAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.