Active NPI
Faith Comfort Mamombe, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1750157897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68947
- Practice address
- 9821 Camino Villa Apt 537
San Antonio, TX 78254-5623 - Phone
- (251) 751-9133
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 68947 | TX | Primary |
Addresses
Primary practice location
9821 Camino Villa Apt 537
San Antonio, TX 78254-5623
Mailing address
6927 Scenic Sunset
San Antonio, TX 78249-3515
Phone (251) 751-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68947 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mopani Mental Health Services | Clinical | Current | Accepting new patients |
| Alamo Heights Counseling Inc. | Clinical | Current | Accepting new patients |
Locations
4715 Fredericksburg Rd
Ste 103
San Antonio, TX 78229
Phone (251) 751-9133
900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600
Organizations & group practices 2
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.
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1659264588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1750157897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6927 SCENIC SUNSET",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493515",
"telephone_number": "251-751-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9821 CAMINO VILLA APT 537",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782545623",
"telephone_number": "251-751-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMOMBE",
"first_name": "FAITH",
"middle_name": "COMFORT",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "68947",
"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 Nov 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.