Individual provider Active NPI

Catherine Michelle Clegg, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1184206948
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50324 Issued in TX
Practice address
5503 Grissom Rd Ste 110
San Antonio, TX 78238-3036
Phone
(830) 488-7781
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50324 TX Primary

Addresses

Primary practice location

5503 Grissom Rd Ste 110
San Antonio, TX 78238-3036

Mailing address

11844 Bandera Rd # 176
Helotes, TX 78023-4132
Phone (210) 587-5792

Other practice location 1

11844 Bandera Rd # 176
Helotes, TX 78023-4132
Phone (210) 587-5792

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

LicenseStateTypeSpecialty
50324TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upekkha Behavioral Health LLC Clinical CurrentSince Sep 23, 2021 Accepting new patients

Locations

5503 Grissom Rd
Ste 110
San Antonio, TX 78238
Phone (210) 325-7156

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1184206948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 BANDERA RD # 176",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "210-587-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 GRISSOM RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383036",
            "telephone_number": "830-488-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11844 Bandera Rd # 176",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780234132",
            "country_code": "US",
            "telephone_number": "210-587-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "CATHERINE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50324",
            "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 Sep 13, 2021; 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.