Individual provider Active NPI

Samantha Roxanne Sada, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1568197929
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63355 Issued in TX
Practice address
5109 Medical Dr FL 4
San Antonio, TX 78229-5068
Phone
(210) 450-7090
Fax
(210) 450-2460
NPI assigned
Jul 20, 2022
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 63355 TX
Clinical Social Worker 1041C0700X 63355 TX Primary

Addresses

Primary practice location

5109 Medical Dr FL 4
San Antonio, TX 78229-5068

Mailing address

5109 Medical Dr FL 4
San Antonio, TX 78229-5068
Phone (210) 450-7090

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
I20250727000085 TX Practitioner - Clinical Social Worker 9537676499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5109 Medical Dr
San Antonio, TX 78229-5068
Phone (210) 450-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 3, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 3, 2025 Accepting new patients

Locations

5109 Medical Dr
San Antonio, TX 78229
Phone (210) 450-7090

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8403 Floyd Curl Dr
Ste 3202
San Antonio, TX 78229

5109 Medical Dr
Fl 4
San Antonio, TX 78229
Phone (210) 450-7090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1568197929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR FL 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090",
            "fax_number": "210-450-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR FL 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090",
            "fax_number": "210-450-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADA",
        "first_name": "SAMANTHA",
        "middle_name": "ROXANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "63355",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.