Individual provider Active NPI

Gabrielle Villafuerte, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1609411271
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62855 Issued in TX
Practice address
12500 NW Military Hwy Ste 250
San Antonio, TX 78231-2000
Phone
(210) 302-6920
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 62855 TX Primary

Addresses

Primary practice location

12500 NW Military Hwy Ste 250
San Antonio, TX 78231-2000

Mailing address

923 Vance Jackson Apt 1064
San Antonio, TX 78201-2750
Phone (210) 445-0444

Other identifiers 1

IdentifierTypeStateIssuer
62855MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address villafuerteg@jfs-sa.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62855TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Albert PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609411271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 VANCE JACKSON APT 1064",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012750",
            "telephone_number": "210-445-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312000",
            "telephone_number": "210-302-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFUERTE",
        "first_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62855",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "villafuerteg@jfs-sa.org",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "12500 NW Military Hwy Ste 250",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782312000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.