Rene Rios Jimenez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

58453 Issued in TX

Practice address

12702 Toepperwein Rd Ste 236
Live Oak, TX 78233-3231

Phone

(210) 286-9339

Fax

(210) 888-1197

NPI assigned

Jan 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1013507656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 236",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333231",
            "telephone_number": "210-286-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 236",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333231",
            "telephone_number": "210-286-9339",
            "fax_number": "210-888-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RENE",
        "middle_name": "RIOS",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "58453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rae Jeanise, LMSW
• Kaelyn Jeffreys
• Patricia G. Jeffreys, M.D.
• Susan Lee Jennings
• Jesse Moss Jr Mdpa
• John R Chance MD PA
• Natacha Yvette Johnson-Glover
• Shirhonda Johnson, OT
• Tiffany Ann Johnson, FNP-C
• David Pryor Jones, DO

• Social Worker in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.