Active NPI
Eduardo A Vargas, LCSW
- Clinical Social Worker
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61336
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76-0464214 | Other | TX | TAX ID |
| 381315601 | Medicaid | TX |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61336 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-V Support Services | Clinical | Current | Accepting new patients |
| Deblin Health Concepts & Associates, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1699382663
-
- Mental Health Counselor
- Houston, TX
- NPI 1063492320
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.