Individual provider Active NPI

Marta Joanna Cacace-Mata, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1013621390
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69608 Issued in TX
Practice address
6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171
Phone
(210) 705-1749
Fax
(210) 610-5256
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69608 TX Primary

Addresses

Primary practice location

6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171

Mailing address

6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171
Phone (210) 705-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230128000432 TX Practitioner - Clinical Social Worker 4587035696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians
Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians
A New Start Counseling ServicesGroup PAC ID 1951701010, 15 clinicians

Practice addresses (Care Compare)

17 Old San Antonio Rd
Suite 201
Boerne, TX 78006-3495
Phone (830) 214-7714

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

6609 Blanco Rd
Suite 325
San Antonio, TX 78216-6171
Phone (210) 833-4665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Jan 6, 2023 Accepting new patients
A New Start Counseling Services Clinical CurrentSince Jan 11, 2023 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

6609 Blanco Rd
Ste 365
San Antonio, TX 78216
Phone (210) 705-1749

6609 Blanco Rd
Ste 325
San Antonio, TX 78216
Phone (210) 705-1749

Networks

  • TX HMO
  • TX HMO D-SNP

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1013621390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 365",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166171",
            "telephone_number": "210-705-1749",
            "fax_number": "210-610-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 365",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166171",
            "telephone_number": "210-705-1749",
            "fax_number": "210-610-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACACE-MATA",
        "first_name": "MARTA",
        "middle_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.