Individual provider Active NPI

Eduardo A Vargas, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1447766803
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61336 Issued in TX
Practice address
4302 First View Dr
San Antonio, TX 78217-3634
Phone
(210) 837-7735
NPI assigned
Dec 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 61336 TX Primary

Addresses

Primary practice location

4302 First View Dr
San Antonio, TX 78217-3634

Mailing address

4302 First View Dr
San Antonio, TX 78217-3634
Phone (210) 837-7735

Other practice location 1

8000 West Ave Ste 1
San Antonio, TX 78213-1837
Phone (713) 686-9194

Other practice location 2

4131 Spicewood Springs Rd Ste J1
Austin, TX 78759-8600
Phone (713) 686-9194

Other practice location 3

6518 Baker Blvd
Richland Hills, TX 76118-6292
Phone (713) 686-9194

Other practice location 4

4411 Dacoma St
Houston, TX 77092-8611
Phone (713) 686-9194

Other identifiers 2

IdentifierTypeStateIssuer
76-0464214OtherTXTAX ID
381315601MedicaidTX

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
I20180205000829 TX Practitioner - Clinical Social Worker 5799045134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4302 1St View Dr
San Antonio, TX 78217-3634
Phone (210) 305-7498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61336TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A-V Support Services Clinical CurrentSince Sep 24, 2020 Accepting new patients
Deblin Health Concepts & Associates, LLC Clinical CurrentSince Dec 18, 2017 Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Ste J1
Austin, TX 78759
Phone 7136869194 ext. 69194

221 N Kansas St
Ste 700
El Paso, TX 79901
Phone (817) 242-3733

6110 Pinemont Dr
Ste 106
Houston, TX 77092

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

4411 Dacoma St
Houston, TX 77092
Phone (281) 674-7145

6518 Baker Blvd
Richland Hills, TX 76118
Phone (281) 674-7145

84 NE Loop 410
#2142
San Antonio, TX 78216

8000 West Ave
Ste 1
San Antonio, TX 78213
Phone (210) 580-4149

Organizations & group practices 2

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1447766803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 FIRST VIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173634",
            "telephone_number": "210-837-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 FIRST VIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173634",
            "telephone_number": "210-837-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 West Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131837",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6518 Baker Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761186292",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Dacoma St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928611",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "EDUARDO",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "76-0464214",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381315601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.