NPIMap

Organization Active NPI

Anchor Clanker Inc

  • Clinical Social Worker
  • Aransas Pass, TX
National Provider Identifier
1609092188
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S09573 Issued in TX
Legal business name
ANCHOR CLANKER INC
Practice address
2051 W Wheeler Ave
Ste #5
Aransas Pass, TX 78336-4762
Phone
(361) 523-8241
Fax
(888) 201-8760
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Jennifer M Jones, MSW, LCSW, DCSW, SAP
Title
Executive Director
Phone
(361) 523-8241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X S09573 TX Primary

Addresses

Primary practice location

2051 W Wheeler Ave
Ste #5
Aransas Pass, TX 78336-4762

Mailing address

PO Box 1267
Ingleside, TX 78362-1267
Phone (361) 238-4083

Other identifiers 1

IdentifierTypeStateIssuer
0002QAOtherTXBLUE CROSS BLUE SHIELD TX

Other names 1

  • Keys to Recovery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609092188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783621267",
            "telephone_number": "361-238-4083",
            "fax_number": "214-233-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W WHEELER AVE",
            "address_2": "STE #5",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364762",
            "telephone_number": "361-523-8241",
            "fax_number": "888-201-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR CLANKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "361-523-8241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, DCSW, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S09573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0002QA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keys to Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aransas Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.