Individual provider Active NPI

Daisy Tovar Nieto, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1487899415
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52834 Issued in TX
Practice address
94 Briggs St Ste 700
San Antonio, TX 78224-1272
Phone
(210) 924-3556
Fax
(210) 924-3557
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 52834 TX Primary

Addresses

Primary practice location

94 Briggs St Ste 700
San Antonio, TX 78224-1272

Mailing address

94 Briggs St Ste 700
San Antonio, TX 78224-1272
Phone (210) 924-3556

Other practice location 1

94 Briggs St Ste 700
San Antonio, TX 78224-1272
Phone (210) 924-3556

Other practice location 2

123 Ascot Ave
San Antonio, TX 78224-1101
Phone (210) 927-1816

Other identifiers 1

IdentifierTypeStateIssuer
52834OtherTXLCSW LICENSE ISSUED BY TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
52834TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487899415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241272",
            "telephone_number": "210-924-3556",
            "fax_number": "210-924-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241272",
            "telephone_number": "210-924-3556",
            "fax_number": "210-924-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Briggs St Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241272",
            "country_code": "US",
            "telephone_number": "210-924-3556",
            "fax_number": "210-924-3557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Ascot Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241101",
            "country_code": "US",
            "telephone_number": "210-927-1816",
            "fax_number": "210-927-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIETO",
        "first_name": "DAISY",
        "middle_name": "TOVAR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE ISSUED BY TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "52834",
            "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.