Individual provider Active NPI

Chenoa Moten, LCSW

  • Clinical Social Worker
  • Cibolo, TX
National Provider Identifier
1821450107
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107487 Issued in TX
Practice address
209 Gatewood Trce
Cibolo, TX 78108-3035
Phone
(918) 706-1173
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13668 LA
Clinical Social Worker 1041C0700X 107487 TX Primary

Addresses

Primary practice location

209 Gatewood Trce
Cibolo, TX 78108-3035

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270

Other practice location 1

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone (210) 404-4317

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
I20220525000039 TX Practitioner - Clinical Social Worker 5092192468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Counseling Center PLLCGroup PAC ID 3971930942, 6 clinicians

Practice addresses (Care Compare)

12915 Jones Maltsberger Rd
Suite 201
San Antonio, TX 78247-4540
Phone (210) 404-4317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13668LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Center, PLLC Clinical CurrentSince Aug 25, 2022 Accepting new patients

Locations

12915 Jones Maltsberger Rd
Ste 201
San Antonio, TX 78247
Phone (210) 404-4317

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1821450107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "888-880-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 GATEWOOD TRCE",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083035",
            "telephone_number": "918-706-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12915 Jones Maltsberger Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782474540",
            "country_code": "US",
            "telephone_number": "210-404-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "CHENOA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13668",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

Verify at the official NPI Registry.