Active NPI
Jerry Rangel, LMSW, LMFT
- Social Worker
- San Antonio, TX
National Provider Identifier
1396847612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00825
- Practice address
- 4455 Horizon Hill Blvd
San Antonio, TX 78229-2258 - Phone
- (210) 321-2714
- Fax
- (210) 321-2728
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 00825 | TX | Primary |
Addresses
Primary practice location
4455 Horizon Hill Blvd
San Antonio, TX 78229-2258
Mailing address
6003 Clearbrook St.
San Antonio, TX 78234
Phone (210) 521-4163
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396847612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6003 CLEARBROOK ST.",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-521-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 HORIZON HILL BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292258",
"telephone_number": "210-321-2714",
"fax_number": "210-321-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGEL",
"first_name": "JERRY",
"name_prefix": "Mr.",
"credential": "LMSW, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "00825",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.