Stephanie Ann Matthews, LCSW
Individual provider Active NPI Clinical Social Worker · San Antonio, TX
NPI 1093239782 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1093239782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 57549 (TX)
- Practice address
- 6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171 - Phone
- (210) 705-1749
- Fax
- (210) 610-5256
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220901001898 | TX | Practitioner - Clinical Social Worker | 2668856170 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57549 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Start Counseling Services | Clinical | Current |
Accepting new patients |
| Allegiance Mental Health & Wellness Services LLC | Social Worker | Past | Accepting new patients |
Locations
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57549 | TX | Yes |
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
Other providers in San Antonio, TX
- Lakeisha Matthews
- Nikia Tameka Matthews
- Patti Matthews
- Ryan Matthews
- Sarah Matthews
- Tanisha Lashae Matthews
- Temika Matthews
- Thomas Matthews
- Wanda Matthews
- Kaitlyn Matthey
All providers in San Antonio, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.