Individual provider Active NPI

Ginger Main Chun, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1689074841
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107674 Issued in TX
Practice address
1850 Lockhill Selma Rd Ste 101B
San Antonio, TX 78213-1552
Phone
(210) 695-0108
NPI assigned
Aug 25, 2014
Reactivated
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 107674 TX Primary

Addresses

Primary practice location

1850 Lockhill Selma Rd Ste 101B
San Antonio, TX 78213-1552

Mailing address

15203 Elkton Rd
San Antonio, TX 78232-3911
Phone (210) 875-1392

Other practice location 1

10300 Heritage St Ste 130
San Antonio, TX 78216-3924
Phone (210) 695-0108

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

LicenseStateTypeSpecialty
107674TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1689074841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 ELKTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323911",
            "telephone_number": "210-875-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LOCKHILL SELMA RD STE 101B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131552",
            "telephone_number": "210-695-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Heritage St Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782163924",
            "country_code": "US",
            "telephone_number": "210-695-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "GINGER",
        "middle_name": "MAIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-03",
        "deactivation_date": "2022-09-27",
        "reactivation_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107674",
            "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 Mar 6, 2025; 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.