Active NPI
Elizabeth Roque-Diaz, LCSW
- Clinical Social Worker
- Windcrest, TX
National Provider Identifier
1679511018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04906
- Practice address
- 8930 Fourwinds Dr
Ste 335
Windcrest, TX 78239-1970 - Phone
- (210) 618-7249
- Fax
- (210) 590-0355
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04906 | TX | Primary |
Addresses
Primary practice location
8930 Fourwinds Dr
Ste 335
Windcrest, TX 78239-1970
Mailing address
8930 Fourwinds Dr
Ste 335
Windcrest, TX 78239-1970
Phone (210) 618-7249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040251301 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04906 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becoming Apparent, Inc | Past | Accepting new patients | |
| Lovitt Consulting LLC | Past | 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.
-
- Case Management Agency
- San Antonio, TX
- NPI 1710282033
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1255630679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1679511018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 FOURWINDS DR",
"address_2": "STE 335",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782391970",
"telephone_number": "210-618-7249",
"fax_number": "210-590-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 FOURWINDS DR",
"address_2": "STE 335",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782391970",
"telephone_number": "210-618-7249",
"fax_number": "210-590-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE-DIAZ",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "04906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040251301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windcrest, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.