Clarisse-Ysabel Doromal Nacino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64990 Issued in TX

Practice address

6200 Utsa Blvd Ste 102
San Antonio, TX 78249-1618

Phone

(210) 405-5935

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ep Ted Williams MD PAGroup PAC ID 2567990179, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• E P Ted Williams Mdpa

  dba Genesis Behavioral Health

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1518190859
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1538969563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 FONDREN BEND DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 UTSA BLVD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491618",
            "telephone_number": "210-405-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACINO",
        "first_name": "CLARISSE-YSABEL",
        "middle_name": "DOROMAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawfeq Naal
• Aeliya Nabeel, DDS
• Meredith Elise Naber, PA-C
• Karim Nabih
• Paul Stanley Nabity, PHD
• Nacogdoches Family Clinic LLC (Clinica Familiar Nacogdoches)
• Mark Nadeau, MD
• Michelle L Nadeau, PHD
• Nader G Iskander MD PA (San Antonio Eye Specialists)
• Celine Mireille Nader, DDS

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.