Active NPI
Britney Zamudio, LCSW
- Clinical Social Worker
- Goodfellow, Afb, TX
National Provider Identifier
1063149920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68398
- Practice address
- 17 MDG Ross Clinic
271 Ft Richardson
Goodfellow, Afb, TX 76908 - Phone
- (325) 654-3122
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 68398 | TX | Primary |
Addresses
Primary practice location
17 MDG Ross Clinic
271 Ft Richardson
Goodfellow, Afb, TX 76908
Mailing address
17 MDG Ross Clinic
271 Ft Richardson
Goodfellow, Afb, TX 76908
Phone (325) 654-3122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1063149920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MDG ROSS CLINIC",
"address_2": "271 FT RICHARDSON",
"city": "GOODFELLOW, AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MDG ROSS CLINIC",
"address_2": "271 FT RICHARDSON",
"city": "GOODFELLOW, AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMUDIO",
"first_name": "BRITNEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "68398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodfellow, Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.