Active NPI
Sandy Cristine Donovan, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1467564419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38727
- Practice address
- 7400 Merton Minter Blvd
Mail Code 122
San Antonio, TX 78229 - Phone
- (210) 617-5300
- Fax
- (210) 617-5366
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 | 38727 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter Blvd
Mail Code 122
San Antonio, TX 78229
Mailing address
7400 Merton Minter Blvd
Mail Code 122
San Antonio, TX 78229
Phone (210) 617-5300
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 |
|---|---|---|---|
| 38727 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1467564419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD",
"address_2": "MAIL CODE 122",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-617-5300",
"fax_number": "210-617-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD",
"address_2": "MAIL CODE 122",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-617-5300",
"fax_number": "210-617-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "SANDY",
"middle_name": "CRISTINE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38727",
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.