Individual provider Active NPI

Twila Pickrell, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1275584955
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32426 Issued in TX
Practice address
909 NE Loop 410 Ste 730
San Antonio, TX 78209-1303
Phone
(210) 305-0444
Fax
(210) 804-1887
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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 32426 TX Primary

Addresses

Primary practice location

909 NE Loop 410 Ste 730
San Antonio, TX 78209-1303

Mailing address

909 NE Loop 410 Ste 730
San Antonio, TX 78209-1303
Phone (210) 305-0444

Other identifiers 2

IdentifierTypeStateIssuer
149705901MedicaidTX
32426OtherTXTX LCSW

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
32426TXMDGroup Psychotherapy Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1275584955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NE LOOP 410 STE 730",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091303",
            "telephone_number": "210-305-0444",
            "fax_number": "210-804-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NE LOOP 410 STE 730",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091303",
            "telephone_number": "210-305-0444",
            "fax_number": "210-804-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "TWILA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149705901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LCSW",
            "identifier": "32426",
            "state": "TX"
        }
    ],
    "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 May 13, 2013; 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.