Beyond the Root Counseling and Consulting,PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEYOND THE ROOT COUNSELING AND CONSULTING,PLLC

Practice address

24028 Gavarra
San Antonio, TX 78261-2971

Phone

(210) 937-1049

Fax

(210) 783-1054

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tawanna M Hudson, LCSWNPI 1164037537

Title

Licensed Clinical Social Worker

Phone

(210) 704-7460

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawanna M Hudson, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1164037537
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1427658954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18018 OVERLOOK LOOP",
            "address_2": "STE 105 #243",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "210-704-7460",
            "fax_number": "210-783-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24028 GAVARRA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612971",
            "telephone_number": "210-937-1049",
            "fax_number": "210-783-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE ROOT COUNSELING AND CONSULTING,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "210-704-7460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.