Active NPI
Education Service Center
- Social Worker
- San Angelo, TX
National Provider Identifier
1336459551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 32054
- Legal business name
- EDUCATION SERVICE CENTER
- Practice address
- 612 S Irene
San Angelo, TX 76903 - Phone
- (325) 658-6571
- Fax
- (325) 653-0036
- NPI assigned
- Oct 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Norma Y Bradley
- Title
- Billing Specialist
- Phone
- (325) 658-6571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 32054 | TX | Primary |
Addresses
Primary practice location
612 S Irene
San Angelo, TX 76903
Mailing address
612 S Irene
San Angelo, TX 76903
Phone (325) 658-6571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396867966 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Education Service Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- San Angelo, TX
- NPI 1245548452
-
- Occupational Therapist
- San Angelo, TX
- NPI 1396867966
Locations
612 S Irene St
San Angelo, TX 76903
Phone (325) 658-6571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1336459551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S IRENE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76903",
"telephone_number": "325-658-6571",
"fax_number": "325-653-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S IRENE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76903",
"telephone_number": "325-658-6571",
"fax_number": "325-653-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUCATION SERVICE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "325-658-6571",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "TX",
"license": "32054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396867966",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
- Educare Community Living Corporation - Texas
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Educare Community Living Corporation - Texas
- Educare Community Living Corporation - Texas
- Education Service Center
- Education Service Center Region XV
- Anna Jo Edwards
- Kristy D Edwards, MD
- Mark S Edwards, MD
- Traci L Eichin, LCDC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.