Individual provider Active NPI

Denetria Denise Brooks-James, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1760521652
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4211 Gardendale St Ste A104
San Antonio, TX 78229-3180
Phone
(210) 369-9950
Fax
(210) 783-8897
NPI assigned
Feb 6, 2007
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 104521 TX
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4211 Gardendale St Ste A104
San Antonio, TX 78229-3180

Mailing address

7027 FM 78 Apt 6103
San Antonio, TX 78244-1399
Phone (210) 596-2089

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
I20230730000162 TX Practitioner - Clinical Social Worker 5395106900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Life Counseling of San Antonio LLCGroup PAC ID 0143612259, 3 clinicians

Practice addresses (Care Compare)

7418 John Smith Dr
Suite 1105
San Antonio, TX 78229-6020
Phone (210) 369-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104521TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince May 4, 2024 Accepting new patients
Insight Guidance Group Mental Health PastSince Jul 24, 2018 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

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, 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1760521652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 FM 78 APT 6103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441399",
            "telephone_number": "210-596-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE A104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293180",
            "telephone_number": "210-369-9950",
            "fax_number": "210-783-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-JAMES",
        "first_name": "DENETRIA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "104521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.