Individual provider Active NPI

Martha A Stany, LCSW, MSW, ADS

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1184034662
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69314 Issued in TX
Practice address
117 Spruce St
San Antonio, TX 78203
Phone
(210) 201-5585
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018259 IL
Clinical Social Worker 1041C0700X CSW.09927523 CO
Clinical Social Worker 1041C0700X 69314 TX Primary

Addresses

Primary practice location

117 Spruce St
San Antonio, TX 78203

Mailing address

2186 Jackson Keller Rd Ste 316
San Antonio, TX 78213-2723
Phone (210) 201-5585

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
CSW.09927523COMDClinical Social Worker
149018259ILMDClinical Social Worker
69314TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Aliveness Therapy PLLC Clinical CurrentSince Jun 25, 2023 Accepting new patients

Locations

2186 Jackson Keller Rd
San Antonio, TX 78213
Phone (210) 446-9552

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1184034662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 JACKSON KELLER RD STE 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132723",
            "telephone_number": "210-201-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SPRUCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78203",
            "telephone_number": "210-201-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANY",
        "first_name": "MARTHA",
        "middle_name": "A",
        "credential": "LCSW, MSW, ADS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69314",
            "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 23, 2023; 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.