Individual provider Active NPI

Beth Kobb, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1679624290
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15981 Issued in TX
Practice address
21518 Blanco Rd Ste 105
San Antonio, TX 78260-3380
Phone
(210) 693-7838
Fax
(210) 892-3588
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 15981 TX Primary

Addresses

Primary practice location

21518 Blanco Rd Ste 105
San Antonio, TX 78260-3380

Mailing address

26331 Dancing Bear
San Antonio, TX 78260-5808
Phone (210) 693-7838

Other identifiers 1

IdentifierTypeStateIssuer
0060NFOtherTXBCBS

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
I20040323001191 TX Practitioner - Clinical Social Worker 4385535913 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC TX LLCGroup PAC ID 1052680949, 21 clinicians

Practice addresses (Care Compare)

3405 El Salido Pkwy
Apt 236
Cedar Park, TX 78613-5647
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15981TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC TX LLC Clinical CurrentSince Apr 4, 2023 Accepting new patients
Assurasource LTD Clinical PastSince Apr 10, 2022 Accepting new patients

Locations

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1679624290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26331 DANCING BEAR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782605808",
            "telephone_number": "210-693-7838",
            "fax_number": "210-892-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21518 BLANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603380",
            "telephone_number": "210-693-7838",
            "fax_number": "210-892-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBB",
        "first_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "15981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.