Individual provider Active NPI

Eryn Maree Chastain, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1710570858
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66541 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone
(210) 664-2135
NPI assigned
Feb 19, 2021
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 66541 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540

Mailing address

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone (210) 664-2135

Other practice location 1

6040 Surety Dr
El Paso, TX 79905-2043
Phone (915) 781-9900

Other practice location 2

109 Enterprise Pkwy Ste 203
Boerne, TX 78006-8636
Phone (830) 755-2343

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
I20210517001779 TX Practitioner - Clinical Social Worker 1355750688 Practice locations: Boerne, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Enterprise Pkwy
203 Arise Office
Boerne, TX 78006-8636
Phone (210) 664-2135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of El Paso CurrentSince Feb 1, 2021 Accepting new patients

Locations

6040 Surety Dr
El Paso, TX 79905
Phone (915) 781-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1710570858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474540",
            "telephone_number": "210-664-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474540",
            "telephone_number": "210-664-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Surety Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052043",
            "country_code": "US",
            "telephone_number": "915-781-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Enterprise Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780068636",
            "country_code": "US",
            "telephone_number": "830-755-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "ERYN",
        "middle_name": "MAREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.