Active NPI
Eloy J. Flores, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1376769968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04174
- Practice address
- 6315 S Zarzamora St
San Antonio, TX 78211-3218 - Phone
- (210) 924-9254
- Fax
- (210) 977-9326
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 04174 | TX | Primary |
Addresses
Primary practice location
6315 S Zarzamora St
San Antonio, TX 78211-3218
Mailing address
2300 W Commerce St
Suite 300
San Antonio, TX 78207-3839
Phone (210) 922-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94982 | Other | TX | CARELINK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04174 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211760000000",
"number": "1376769968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W COMMERCE ST",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073839",
"telephone_number": "210-922-0103",
"fax_number": "210-922-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782113218",
"telephone_number": "210-924-9254",
"fax_number": "210-977-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ELOY",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2008-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "04174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "94982",
"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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.