Active NPI
Charles Byron Cordes, LMSW
- Social Worker
- San Antonio, TX
National Provider Identifier
1154344802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S26275
- Practice address
- 14111 Red Maple Wood
San Antonio, TX 78249-1865 - Phone
- (210) 479-1193
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S26275 | TX | Primary |
Addresses
Primary practice location
14111 Red Maple Wood
San Antonio, TX 78249-1865
Mailing address
14111 Red Maple Wood
San Antonio, TX 78249-1865
Phone (210) 479-1193
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S26275 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Elder Care, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154344802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14111 RED MAPLE WOOD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491865",
"telephone_number": "210-479-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 RED MAPLE WOOD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491865",
"telephone_number": "210-479-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "CHARLES",
"middle_name": "BYRON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "S26275",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.