Active NPI
Diane Marie Salazar, BCBA, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1770058778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33388
- Practice address
- 6502 Bandera Rd # 212
San Antonio, TX 78238-1400 - Phone
- (210) 325-7156
- NPI assigned
- Oct 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32382 | TX | |
| Clinical Social Worker | 1041C0700X | 33388 | TX | Primary |
Addresses
Primary practice location
6502 Bandera Rd # 212
San Antonio, TX 78238-1400
Mailing address
8430 Timber Crest St
San Antonio, TX 78250-4405
Phone (210) 325-7156
Other practice location 1
601 N Frio St Bldg 1
San Antonio, TX 78207-3011
Phone (210) 246-1300
Other practice location 2
5503 Grissom Rd Ste 110
San Antonio, TX 78238-3036
Phone (210) 325-7156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33388 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1770058778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8430 TIMBER CREST ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782504405",
"telephone_number": "210-325-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 BANDERA RD # 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381400",
"telephone_number": "210-325-7156"
}
],
"practiceLocations": [
{
"address_1": "601 N Frio St Bldg 1",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073011",
"country_code": "US",
"telephone_number": "210-246-1300",
"fax_number": "210-227-5476",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5503 Grissom Rd Ste 110",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782383036",
"country_code": "US",
"telephone_number": "210-325-7156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "BCBA, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2023-08-02",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-18-32382",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "33388",
"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 Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.