Individual provider Active NPI

Elizabeth R Madrigal, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1386217362
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55499 Issued in TX
Practice address
7272 Wurzbach Rd Ste 706
San Antonio, TX 78240-4803
Phone
(210) 615-3483
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 55499 TX Primary

Addresses

Primary practice location

7272 Wurzbach Rd Ste 706
San Antonio, TX 78240-4803

Mailing address

3222 York Dr
Mansfield, TX 76063-7622

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
I20210723000420 TX Practitioner - Clinical Social Worker 3476956822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians

Practice addresses (Care Compare)

8600 N Riverside Dr
Fort Worth, TX 76244-9634
Phone (713) 850-0049

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55499TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC Clinical CurrentSince Jun 26, 2024 Accepting new patients
Ihearu Mental Health LLC CurrentSince Apr 5, 2024 Accepting new patients
Institute for Health Evaluation and Research Unlimited LLC CurrentSince Apr 5, 2024 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Jul 20, 2021 Accepting new patients

Locations

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

8600 N Riverside Dr
Fort Worth, TX 76244
Phone (817) 435-1320

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1386217362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 YORK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD STE 706",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404803",
            "telephone_number": "210-615-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.