Organization Active NPI

Waggoner & Thomas

  • Case Manager/Care Coordinator
  • San Antonio, TX
National Provider Identifier
1386770469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
01952 Issued in TX
Legal business name
WAGGONER & THOMAS
Doing business as
Mother-Child Social Service
Practice address
4100 E Piedras Dr
Suite 205
San Antonio, TX 78228-1401
Phone
(210) 745-3940
Fax
(210) 745-3938
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Monica E. Trevino, LMSW
Title
Director
Phone
(210) 745-3940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X 01952 TX Primary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X 19282 TX

Addresses

Primary practice location

4100 E Piedras Dr
Suite 205
San Antonio, TX 78228-1401

Mailing address

4100 E Piedras Dr
Suite 205
San Antonio, TX 78228-1401
Phone (210) 745-3940

Other names 1

  • Mother-Child Social Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mother-Child Social Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4100 E Piedras Dr
Ste 205
San Antonio, TX 78228
Phone (210) 745-3940

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386770469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-745-3940",
            "fax_number": "210-745-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-745-3940",
            "fax_number": "210-745-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGGONER & THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-745-3940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "01952",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "19282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother-Child Social Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.