Active NPI
Lisa Nieves, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1356014609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59977
- Practice address
- 115 Las Palmas Dr
San Antonio, TX 78237-3105 - Phone
- (210) 802-5825
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59977 | TX | Primary |
Addresses
Primary practice location
115 Las Palmas Dr
San Antonio, TX 78237-3105
Mailing address
300 E Basse Rd
San Antonio, TX 78209-8374
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59977 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1356014609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E BASSE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782098374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LAS PALMAS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373105",
"telephone_number": "210-802-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59977",
"primary": true
}
],
"identifiers": [],
"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 Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.