Active NPI
Kelly Alcalabellinger
- Social Worker
- San Antonio, TX
National Provider Identifier
1639403686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 210 N Rio Grande
San Antonio, TX 78202-3265 - Phone
- (210) 207-4725
- Fax
- (210) 207-6359
- NPI assigned
- Sep 23, 2009
- Last updated
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
210 N Rio Grande
San Antonio, TX 78202-3265
Mailing address
210 N Rio Grande
San Antonio, TX 78202-3265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112818301 | Medicaid | TX |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1639403686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N RIO GRANDE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782023265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N RIO GRANDE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782023265",
"telephone_number": "210-207-4725",
"fax_number": "210-207-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCALABELLINGER",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112818301",
"state": "TX"
}
],
"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 Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.