Individual provider Active NPI

Thomas B Efird, MSW, LCSW, LCDC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1861589590
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61613 Issued in TX
Practice address
18911 Hardy Oak Blvd
San Antonio, TX 78258-4967
Phone
(210) 239-9597
Fax
(210) 866-0202
NPI assigned
Oct 6, 2006
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 61613 TX Primary

Addresses

Primary practice location

18911 Hardy Oak Blvd
San Antonio, TX 78258-4967

Mailing address

9302 Hazelton LN
San Antonio, TX 78251-4742
Phone (210) 239-9597

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
I20220504002797 TX Practitioner - Clinical Social Worker 5698863843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emdr-Counseling PLLC Clinical CurrentSince Mar 11, 2022 Accepting new patients

Locations

18911 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 239-9597

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, 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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1861589590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 HAZELTON LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514742",
            "telephone_number": "210-239-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584967",
            "telephone_number": "210-239-9597",
            "fax_number": "210-866-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFIRD",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "MSW, LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.