Individual provider Active NPI

Clifford Cantu, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1467162149
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62354 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone
(210) 404-4317
Fax
(210) 817-8722
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 62354 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540

Mailing address

136 Harness LN
Cibolo, TX 78108-3744
Phone (817) 876-4733

Other practice location 1

223 E Bridge St Ste 112
New Braunfels, TX 78130-7596
Phone (210) 404-4317

Other practice location 2

430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772
Phone (844) 824-8775

Other practice location 3

136 Harness Ln
Cibolo, TX 78108-3744
Phone (817) 876-4733

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
I20221221002159 TX Practitioner - Clinical Social Worker 5698145332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Counseling Center PLLCGroup PAC ID 3971930942, 6 clinicians

Practice addresses (Care Compare)

12915 Jones Maltsberger Rd
Suite 201
San Antonio, TX 78247-4540
Phone (210) 404-4317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62354TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Center, PLLC Clinical CurrentSince Apr 6, 2023 Accepting new patients

Locations

647 S Seguin Ave
New Braunfels, TX 78130
Phone (210) 404-4317

12915 Jones Maltsberger Rd
Ste 201
San Antonio, TX 78247
Phone (210) 404-4317

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1467162149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HARNESS LN",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083744",
            "telephone_number": "817-876-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474540",
            "telephone_number": "210-404-4317",
            "fax_number": "210-817-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 E Bridge St Ste 112",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307596",
            "country_code": "US",
            "telephone_number": "210-404-4317",
            "fax_number": "210-817-8722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 W Sunset Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091772",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Harness Ln",
            "address_purpose": "LOCATION",
            "city": "Cibolo",
            "state": "TX",
            "postal_code": "781083744",
            "country_code": "US",
            "telephone_number": "817-876-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "CLIFFORD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.