Individual provider Active NPI

Jay Vargas-Zachary, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1336578764
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54467 Issued in TX
Practice address
21 Lynn Batts
Suite 11
San Antonio, TX 78218-3078
Phone
(210) 612-2141
Fax
(210) 829-8788
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 54467 TX Primary

Addresses

Primary practice location

21 Lynn Batts
Suite 11
San Antonio, TX 78218-3078

Mailing address

21 Lynn Batts
Suite 11
San Antonio, TX 78218-3078
Phone (210) 612-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428000697 TX Practitioner - Clinical Social Worker 7517190598 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 Oakwell Farms Pkwy
Suite 138
San Antonio, TX 78218-1714

1919 Oakwell Farms Pkwy
Suite 138
San Antonio, TX 78218-1725
Phone (210) 722-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donald C. McCann, PH.D., P.C. PastSince Jul 13, 2003 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1336578764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LYNN BATTS",
            "address_2": "SUITE 11",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183078",
            "telephone_number": "210-612-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LYNN BATTS",
            "address_2": "SUITE 11",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183078",
            "telephone_number": "210-612-2141",
            "fax_number": "210-829-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-ZACHARY",
        "first_name": "JAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.