Individual provider Active NPI

Lisa Rose Huizar, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1851434468
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19435 Issued in TX
Practice address
207 E. Evergreen St.
San Antonio, TX 78212-4316
Phone
(210) 922-7000
Fax
(210) 924-1374
NPI assigned
Feb 14, 2007
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19435 TX Primary

Addresses

Primary practice location

207 E. Evergreen St.
San Antonio, TX 78212-4316

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

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
I20090212000272 TX Practitioner - Clinical Social Worker 7012072796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Centro del Barrio IncGroup PAC ID 6800881285, 18 clinicians

Practice addresses (Care Compare)

6315 S Zarzamora St
San Antonio, TX 78211-3218
Phone (210) 922-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19435TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc CurrentSince Nov 10, 2024 Accepting new patients
El Centro del Barrio Clinical CurrentSince Jun 27, 2011 Accepting new patients
El Centro del Barrio, Inc. Current Accepting new patients
El Centro del Barrio, Inc. CurrentSince Jun 27, 2011 Accepting new patients
Monte C Miller PSYD Past Accepting new patients

Locations

207 E Evergreen St
San Antonio, TX 78212

207 E Evergreen St
Ste 103
San Antonio, TX 78212

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1851434468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-738-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E. EVERGREEN ST.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124316",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZAR",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.