Individual provider Active NPI

Elizabeth S Walter, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1669949921
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105344 Issued in TX
Practice address
10615 Perrin Beitel Rd Ste 400
San Antonio, TX 78217-3141
Phone
(830) 212-1663
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 105344 TX Primary

Addresses

Primary practice location

10615 Perrin Beitel Rd Ste 400
San Antonio, TX 78217-3141

Mailing address

14819 Wilmington
Schertz, TX 78154-1365
Phone (830) 212-1663

Other practice location 1

903 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 228-9923

Other practice location 2

4100 E Piedras Dr Ste 265
San Antonio, TX 78228-1426
Phone (210) 757-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123002398 TX Practitioner - Clinical Social Worker 7416309612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105344TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Authentic Counseling LLC Clinical CurrentSince Jan 2, 2024 Accepting new patients
Elizabeth Shelby Walter PLLC Clinical PastSince Jan 14, 2024 Accepting new patients

Locations

4100 E Piedras Dr
Ste 265
San Antonio, TX 78228
Phone (210) 480-3995

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1669949921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14819 WILMINGTON",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541365",
            "telephone_number": "830-212-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173141",
            "telephone_number": "830-212-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Proton Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584203",
            "country_code": "US",
            "telephone_number": "210-228-9923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 E Piedras Dr Ste 265",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281426",
            "country_code": "US",
            "telephone_number": "210-757-3782",
            "fax_number": "888-592-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.