Individual provider Active NPI

Leonor Carlos

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1780443606
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109666
Practice address
6333 De Zavala Rd
San Antonio, TX 78249-2115
Phone
(210) 431-6466
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2025-1339 NM
Clinical Social Worker 1041C0700X 109666 Primary
Social Worker 104100000X 109666 TX

Addresses

Primary practice location

6333 De Zavala Rd
San Antonio, TX 78249-2115

Mailing address

6363 De Zavala Rd
San Antonio, TX 78249-2101

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
I20251014000115 TX Practitioner - Clinical Social Worker 3678060761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Texas Medical School at San Antonio, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6333 De Zavala Rd
San Antonio, TX 78249-2115

9500 Tioga Dr
Suite a
San Antonio, TX 78230-3118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109666TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Behavioral Health Associates,Inc CurrentSince Jan 15, 2026 Accepting new patients
Endeavors Health Services Board Clinical CurrentSince Sep 1, 2025 Accepting new patients
Family Endeavors, Inc. PastSince Apr 27, 2025 Accepting new patients

Locations

2211 S Interstate 35
Ste 305
Austin, TX 78741
Phone (210) 431-6466

6333 De Zavala Rd
Ste A241
San Antonio, TX 78249
Phone (210) 431-6466

9500 Tioga Dr
Ste A
San Antonio, TX 78230
Phone (210) 616-0828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1780443606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492115",
            "telephone_number": "210-431-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "LEONOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-1339",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "109666",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "109666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.