Active NPI
Kimberly S Goodwin, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1841703899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56680
- Practice address
- 7526 Louis Pasteur Dr
San Antonio, TX 78229-4001 - Phone
- (210) 450-6440
- Fax
- (210) 450-2104
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 56680 | TX | Primary |
Addresses
Primary practice location
7526 Louis Pasteur Dr
San Antonio, TX 78229-4001
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060
Other practice location 1
1 Haven For Hope Way
San Antonio, TX 78207-1108
Phone (210) 261-1521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378227801 | Medicaid | TX | |
| 378227802 | Other | TX | CSHCN |
Other names 1
- Kimberly S Hall
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56680 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Goodwin LCSW-S PLLC | Clinical | Current | Accepting new patients |
Locations
4402 Vance Jackson Rd
Ste 112
San Antonio, TX 78230
Phone (210) 405-7219
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.
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1093309429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1841703899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1060",
"fax_number": "210-261-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7526 LOUIS PASTEUR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294001",
"telephone_number": "210-450-6440",
"fax_number": "210-450-2104"
}
],
"practiceLocations": [
{
"address_1": "1 Haven For Hope Way",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782071108",
"country_code": "US",
"telephone_number": "210-261-1521",
"fax_number": "210-261-1808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378227801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "378227802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HALL",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 16, 2026; 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.