Individual provider Active NPI

Stephanie Blancarte, LCSW

  • Clinical Social Worker
  • Del Rio, TX
National Provider Identifier
1750053807
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105882 Issued in TX
Practice address
906 E 11TH St # 2
Del Rio, TX 78840-3968
Phone
(830) 256-8255
Fax
(325) 939-2019
NPI assigned
Sep 28, 2021
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 105882 TX Primary

Addresses

Primary practice location

906 E 11TH St # 2
Del Rio, TX 78840-3968

Mailing address

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Phone (325) 944-2561

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
I20240110001151 TX Practitioner - Clinical Social Worker 1658722004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105882TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

906 E 11th St
#2
Del Rio, TX 78840
Phone (830) 256-8255

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750053807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-944-2561",
            "fax_number": "325-939-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E 11TH ST # 2",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403968",
            "telephone_number": "830-256-8255",
            "fax_number": "325-939-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCARTE",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.