Individual provider Active NPI

Luisa Farias, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1386686657
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28656 Issued in TX
Practice address
12915 Jones Maltsberger Rd
Suite 303
San Antonio, TX 78247-4282
Phone
(210) 592-9964
Fax
(210) 348-8990
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 28656 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd
Suite 303
San Antonio, TX 78247-4282

Mailing address

12915 Jones Maltsberger Rd
Suite 303
San Antonio, TX 78247-4282
Phone (210) 592-9964

Other identifiers 1

IdentifierTypeStateIssuer
170273001MedicaidTX

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
I20041207001129 TX Practitioner - Clinical Social Worker 5698731099 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12915 Jones Maltsberger Rd
San Antonio, TX 78247-4255
Phone (210) 592-9964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28656TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1386686657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "210-592-9964",
            "fax_number": "210-348-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "210-592-9964",
            "fax_number": "210-348-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "LUISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170273001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.