Individual provider Active NPI

Claudia Pichardo

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1689606543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08734 Issued in TX
Practice address
616 W Russell PL
San Antonio, TX 78212-3658
Phone
(800) 257-8715
Fax
(800) 819-1655
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 08734 TX Primary

Addresses

Primary practice location

616 W Russell PL
San Antonio, TX 78212-3658

Mailing address

3138 Topeka St
Corpus Christi, TX 78404-2437
Phone (361) 882-2542

Other identifiers 1

IdentifierTypeStateIssuer
86391QOtherTXBLUE CROSS BLUE SHIELD

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
I20100317000707 TX Practitioner - Clinical Social Worker 0941335855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Counseling ServiceGroup PAC ID 1759311285, 5 clinicians

Practice addresses (Care Compare)

3833 S Staples St
Suite 203
Corpus Christi, TX 78411-5201
Phone (361) 852-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service CurrentSince Jun 5, 2017 Accepting new patients
Daniela Badea-Mic MD, PA Past Accepting new patients
Bay Area Psychiatry Services PC Past Accepting new patients

Locations

3833 S Staples St
Ste S203
Corpus Christi, TX 78411
Phone (361) 852-9665

3833 S Staples St
#203
Corpus Christi, TX 78411
Phone (361) 852-9665

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689606543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 TOPEKA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042437",
            "telephone_number": "361-882-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W RUSSELL PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123658",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "CLAUDIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "08734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86391Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.