Individual provider Active NPI

Rebecca Labelle, LMSW

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1114760113
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111593 Issued in TX
Practice address
11611 Old Hills LN
San Antonio, TX 78251-3224
Phone
(757) 675-7430
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 111593 TX Primary

Addresses

Primary practice location

11611 Old Hills LN
San Antonio, TX 78251-3224

Mailing address

11611 Old Hills LN
San Antonio, TX 78251-3224
Phone (757) 675-7430

Other practice location 1

11901 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3159
Phone (210) 951-3479

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111593TXMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1114760113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 OLD HILLS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513224",
            "telephone_number": "757-675-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 OLD HILLS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513224",
            "telephone_number": "757-675-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11901 Toepperwein Rd Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333159",
            "country_code": "US",
            "telephone_number": "210-951-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "111593",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2024; 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.