Individual provider Active NPI

Christina Marshall

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1437680493
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56386 Issued in TX
Practice address
6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211
Phone
(210) 261-1000
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 56386 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211

Mailing address

6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211

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
I20170501001985 TX Practitioner - Clinical Social Worker 2769769728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Sight LLCGroup PAC ID 0648585067, 7 clinicians

Practice addresses (Care Compare)

14310 Northbrook Dr
Suite 260
San Antonio, TX 78232-5051
Phone (210) 564-9116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Sight LLC Clinical CurrentSince Dec 1, 2017 Accepting new patients

Locations

14310 Northbrook Dr
Ste 260
San Antonio, TX 78232
Phone (210) 564-9116

17503 La Cantera Pkwy
#104293
San Antonio, TX 78257
Phone (210) 564-9116

17503 La Cantera Pkwy
#102293
San Antonio, TX 78257
Phone (210) 564-9116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1437680493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 200-S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 200-S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-261-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.