Marisa Andrea Holguin- Grado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61271 Issued in TX

Practice address

12915 Jones Maltsberger Rd Ste 305
San Antonio, TX 78247-4255

Phone

(575) 494-1324

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisa.holguin-.grado.1@25307.direct.athenahealth.com

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.

• Holguingrado Clinical Services

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1528626355
  Medicare reassignment NPD Authorized official
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1710495528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "575-494-1324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295656",
            "country_code": "US",
            "telephone_number": "210-614-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLGUIN- GRADO",
        "first_name": "MARISA",
        "middle_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshaun Ian Holdipp, MD
• Aileen Appleby Holeman, MS, CCC-SLP
• Ainsley Appleby Holeman
• Kevin B Holeman, OT
• Sarah Holevinski, MD
• Sarah Elizabeth Holguin-Marquez, DNP, APRN, CPNP-PC
• Gabriel Holguin, PH.D.
• Melissa Holguin
• Veronica Crystal Holguin, LMSW
• Yolanda Garza Holguin, AUD CCCA

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.