Tony Hernan Vitela, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24862 Issued in TX

Practice address

5108 Broadway, Suite 235
San Antonio, TX 78209-5746

Phone

(210) 930-5893

Fax

(210) 822-0024

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1144316720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 BROADWAY, SUITE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095746",
            "telephone_number": "210-930-5893",
            "fax_number": "210-822-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 BROADWAY, SUITE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095746",
            "telephone_number": "210-930-5893",
            "fax_number": "210-822-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITELA",
        "first_name": "TONY",
        "middle_name": "HERNAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063866001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24862",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vitaplus Home Care LLC (Always VitaPlus Transportation)
• Vitaplus Home Care LLC
• Vitas Healthcare of Texas, L. P.
• Vitas Healthcare of Texas, L.P.
• Kristen N Vitek, PHD
• Victoria Vitela
• Viva Pediatrics PA
• Litzy Vivas Manzanares
• Marta Elena Vives, NP
• Vivian W Bucay MD PLLC

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.

Verify at the official NPI Registry.