Active NPI
Bianca Nicole Puleo, LMSW
- Clinical Social Worker
- San Marcos, TX
National Provider Identifier
1427948652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114771
- Practice address
- 100 E San Antonio St Ste 101
San Marcos, TX 78666-5568 - Phone
- (512) 831-6696
- NPI assigned
- Jul 8, 2025
- Last updated
- Jul 8, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114771 | TX | Primary |
Addresses
Primary practice location
100 E San Antonio St Ste 101
San Marcos, TX 78666-5568
Mailing address
2943 W French PL
San Antonio, TX 78228-5310
Phone (210) 482-0017
Other names 1
- Bianca Nicole Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114771 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lavender Space, Inc | Clinical | Current | Accepting new patients |
Locations
100 E San Antonio St
Ste 101
San Marcos, TX 78666
Phone (512) 596-5805
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1427948652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2943 W FRENCH PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782285310",
"telephone_number": "210-482-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SAN ANTONIO ST STE 101",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786665568",
"telephone_number": "512-831-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "BIANCA",
"middle_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "114771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BIANCA",
"last_name": "JOHNSON",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.