Active NPI
Catherine Michelle Clegg, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1184206948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50324
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 50324 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upekkha Behavioral Health LLC | Clinical | Current | 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.
-
dba Upekkha Behavioral Health
- Clinical Social Worker
- San Antonio, TX
- NPI 1093341521
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.