Individual provider Active NPI

Rose Rivera Pastrano, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1700026689
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29308 Issued in TX
Practice address
819 S General McMullen
San Antonio, TX 78237-3138
Phone
(210) 396-1157
Fax
(210) 733-0564
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 29308 TX
Clinical Social Worker 1041C0700X 29308 TX Primary

Addresses

Primary practice location

819 S General McMullen
San Antonio, TX 78237-3138

Mailing address

11746 Ocean SPGS
San Antonio, TX 78249-2658
Phone (210) 396-1197

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29308TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1700026689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11746 OCEAN SPGS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492658",
            "telephone_number": "210-396-1197",
            "fax_number": "210-733-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S GENERAL MCMULLEN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373138",
            "telephone_number": "210-396-1157",
            "fax_number": "210-733-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANO",
        "first_name": "ROSE",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "29308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29308",
            "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 4, 2009; 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.