Individual provider Active NPI

Theresa Ximenes Poenisch, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1659520641
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27464 Issued in TX
Practice address
227 Laurel Heights PL
3
San Antonio, TX 78212-5264
Phone
(210) 737-1956
Fax
(210) 737-1982
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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 27464 TX Primary

Addresses

Primary practice location

227 Laurel Heights PL
3
San Antonio, TX 78212-5264

Mailing address

227 Laurel Heights PL
3
San Antonio, TX 78212-5264
Phone (210) 737-1956

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
27464TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Albert Past Accepting new patients
Jewish Family Service of San Antonio Texas Inc. Clinical PastSince Feb 26, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1659520641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL HEIGHTS PL",
            "address_2": "3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125264",
            "telephone_number": "210-737-1956",
            "fax_number": "210-737-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LAUREL HEIGHTS PL",
            "address_2": "3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125264",
            "telephone_number": "210-737-1956",
            "fax_number": "210-737-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POENISCH",
        "first_name": "THERESA",
        "middle_name": "XIMENES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27464",
            "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 Sep 15, 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.