Individual provider Active NPI

David Alexander Cantu, LCSW

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1093016107
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
54534 Issued in TX
Practice address
4811 Fredericksburg Rd
Ste. B
San Antonio, TX 78229-3661
Phone
(210) 977-0261
Fax
(210) 977-0263
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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 54534 TX Primary

Addresses

Primary practice location

4811 Fredericksburg Rd
Ste. B
San Antonio, TX 78229-3661

Mailing address

4811 Fredericksburg Rd
Ste. B
San Antonio, TX 78229-3661
Phone (210) 977-0261

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
I20160504000078 TX Practitioner - Clinical Social Worker 2860791472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4811 Fredericksburg Rd
Suite B
San Antonio, TX 78229-3661

4811 Fredericksburg Rd
Suite B
San Antonio, TX 78229-3751
Phone (210) 977-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54534TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
4Davidcantu, LLC CurrentSince Dec 20, 2015 Accepting new patients
Comfort Counseling 4 U LLC PastSince Jun 11, 2023 Accepting new patients

Locations

4811 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 977-0261

4811 Fredericksburg Rd
Ste B
San Antonio, TX 78229
Phone (210) 789-4605

Organizations & group practices 2

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1093016107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 FREDERICKSBURG RD",
            "address_2": "STE. B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293661",
            "telephone_number": "210-977-0261",
            "fax_number": "210-977-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 FREDERICKSBURG RD",
            "address_2": "STE. B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293661",
            "telephone_number": "210-977-0261",
            "fax_number": "210-977-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.