NPIMap

Organization Active NPI

Stone Creek Psychotherapy

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1598051443
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S06714 Issued in TX
Legal business name
STONE CREEK PSYCHOTHERAPY
Practice address
8207 Callaghan Rd
Ste. 425
San Antonio, TX 78230-4735
Phone
(210) 414-7558
Fax
(281) 398-9719
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
STONE CREEK PSYCHOTHERAPY (KATY, TX LOCATION)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mrs. Brittani Lynne Davidson, LMSW
Title
Psychotherapist
Phone
(210) 414-7558

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 53037 TX
Clinical Social Worker 1041C0700X S04352 TX
Clinical Social Worker 1041C0700X S06714 TX Primary

Addresses

Primary practice location

8207 Callaghan Rd
Ste. 425
San Antonio, TX 78230-4735

Mailing address

8207 Callaghan Rd
Ste. 425
San Antonio, TX 78230-4735
Phone (210) 414-7558

National Provider Directory

National Provider Directory
Tax ID family
Stone Creek Psychotherapy and Wellness Center4 organizations share this tax ID, including this one
Part of
Stone Creek Psychotherapy and Wellness Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1598051443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD",
            "address_2": "STE. 425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304735",
            "telephone_number": "210-414-7558",
            "fax_number": "281-398-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD",
            "address_2": "STE. 425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304735",
            "telephone_number": "210-414-7558",
            "fax_number": "281-398-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK PSYCHOTHERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONE CREEK PSYCHOTHERAPY (KATY, TX LOCATION)",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "BRITTANI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "210-414-7558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "53037",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S04352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S06714",
            "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 Jun 20, 2011; 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.