Jessica A Chavez, LCSW

Key facts

NPI

1326894635

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

54181 (TX)

Practice address

1215 E Court St
Seguin, TX 78155-5129

Phone

(830) 401-1366

Fax

(830) 372-5858

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Guadalupe County Hospital Board General Acute Care Hospital · Seguin, TX · NPI 1720088123
  Medicare reassignment NPD TX
• Guadalupe County Hospital Board Counselor · Seguin, TX · NPI 1043239577
  NPD
• Guadalupe County Hospital Board Skilled Nursing Facility · Texarkana, TX · NPI 1154962074
  NPD
• Guadalupe County Hospital Board Nursing Care Agency · Seguin, TX · NPI 1487674727
  NPD

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guadalupe County Hospital Board Nursing Care Agency · Seguin, TX · NPI 1487674727
  Care Compare affiliation Hospital
• Guadalupe County Hospital Board General Acute Care Hospital · Seguin, TX · NPI 1720088123
  Care Compare affiliation Hospital
• Guadalupe County Hospital Board General Acute Care Hospital · Seguin, TX · NPI 1780529966
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guadalupe County Hospital Board (31 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe Regional Medical Center Hospital · Seguin, TX · CCN 450104

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Miss Jessica A Sandoval Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2024.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1326894635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-401-1366",
            "fax_number": "830-372-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-401-1366",
            "fax_number": "830-372-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SANDOVAL",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Seguin, TX · Clinical Social Worker in Texas