Individual provider Active NPI

Leonid Royzman, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1700100435
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104729 Issued in TX
Practice address
13242 Hunters Breeze St
San Antonio, TX 78230-2867
Phone
(347) 927-4409
NPI assigned
Mar 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 104729 TX Primary

Addresses

Primary practice location

13242 Hunters Breeze St
San Antonio, TX 78230-2867

Mailing address

13242 Hunters Breeze St
San Antonio, TX 78230-2867
Phone (347) 927-4409

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
I20210707001940 TX Practitioner - Clinical Social Worker 6204238769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13242 Hunters Breeze St
San Antonio, TX 78230-2867
Phone (347) 927-4409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Behavioral Goals LLC Clinical CurrentSince Jun 26, 2022 Accepting new patients
Vcounselors PLLC CurrentSince Jan 1, 2024 Accepting new patients
Active Behavioral Group, LLC Clinical CurrentSince Dec 27, 2022 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1700100435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 HUNTERS BREEZE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302867",
            "telephone_number": "347-927-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 HUNTERS BREEZE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302867",
            "telephone_number": "347-927-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYZMAN",
        "first_name": "LEONID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.