Individual provider Active NPI

Charles W Schraub, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1053498055
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16828 Issued in TX
Practice address
19206 Huebner Rd
Suite 104
San Antonio, TX 78258-3146
Phone
(210) 499-1020
Fax
(210) 499-4956
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16828 TX Primary
Marriage & Family Therapist 106H00000X 3298 TX

Addresses

Primary practice location

19206 Huebner Rd
Suite 104
San Antonio, TX 78258-3146

Mailing address

26805 Foggy Meadows St
San Antonio, TX 78260-2218
Phone (830) 980-2649

Other identifiers 3

IdentifierTypeStateIssuer
060848OtherTXVALUE OPTIONS
190131000OtherTXMAGELLAN
742675485004OtherTXTRICARE SOUTH REGION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3298TXMDMarriage & Family Therapist
16828TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Belto-Schraub Services Inc Clinical PastSince Dec 5, 2011 Accepting new patients

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1053498055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26805 FOGGY MEADOWS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602218",
            "telephone_number": "830-980-2649",
            "fax_number": "830-980-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19206 HUEBNER RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583146",
            "telephone_number": "210-499-1020",
            "fax_number": "210-499-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUB",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16828",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "060848",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "190131000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH REGION",
            "identifier": "742675485004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.