Nicole Elise Struble, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55008 Issued in TX

Practice address

3308 Broadway St Ste 201
San Antonio, TX 78209-6549

Phone

(210) 239-2052

NPI assigned

Jan 12, 2009

Last updated

Jul 24, 2019By 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

Other identifiers 1

Other names 1

• Nicole Elise Blanchett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1548407687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 BROADWAY ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096549",
            "telephone_number": "210-239-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 BROADWAY ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096549",
            "telephone_number": "210-239-2052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Broadway St Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782096549",
            "country_code": "US",
            "telephone_number": "210-239-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287386101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BLANCHETT",
            "middle_name": "ELISE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stronger Together Behavioral Health
• Jalesa Marie Strother
• Jon Travis Stroud, MD
• Erricka Renee Stroup
• Jeffrey Spencer Stroup, PHARMD
• Julie Struck, PTA
• Amy N Struthers
• Louis Samuel Stryker, MD
• Michael M Stryker, D.D.S.
• Karen Strykowski

• 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 Jul 24, 2019; 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.