Mitzi Zephronia Wood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33399 Issued in TX

Practice address

1380 Pantheon Way Ste 230
San Antonio, TX 78232-2292

Phone

(210) 560-7912

Fax

(210) 455-0500

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Mitzi Zephronia Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1225023740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WOODED TRL",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542648",
            "telephone_number": "210-560-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322292",
            "telephone_number": "210-560-7912",
            "fax_number": "210-455-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16007 Via Shavano, Suite 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782499998",
            "country_code": "US",
            "telephone_number": "210-560-7912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MITZI",
        "middle_name": "ZEPHRONIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1691",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZI",
            "last_name": "JOHNSON",
            "middle_name": "ZEPHRONIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimber Ell Wood, LCSW
• Laura Wood
• Lauren Wood, DO
• Lawrence Lee Wood
• Leslie Shannon Wood, LCSW
• Pamela R Wood, M.D.
• Rawson Lyman Wood, MD
• Robert Adams Wood, D.M.D.
• Stephen F. Wood, DDS
• Tanya Wood, LPC

• 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 Oct 29, 2018; 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.