Individual provider Active NPI

Deanne M Acker

  • Clinical Social Worker
  • Universal City, TX
National Provider Identifier
1891350591
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59937 Issued in TX
Practice address
433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829
Phone
(210) 566-1280
Fax
(210) 579-8533
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 59937 TX Primary

Addresses

Primary practice location

433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829

Mailing address

433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829
Phone (210) 566-1280

Other practice location 1

1800 NE Loop 410 Ste 2019
San Antonio, TX 78217-5213
Phone (210) 566-1280

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
I20190607001791 TX Practitioner - Clinical Social Worker 2163755059 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alba Wellness Incorporated CurrentSince May 1, 2019 Accepting new patients
Providential Refuge Counseling PLLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Alba Wellness Case Management LLC PastSince May 1, 2019 Accepting new patients

Locations

17460 Interstate 35 N
Ste 430
Schertz, TX 78154

433 Kitty Hawk Rd
Ste 211
Universal Cty, TX 78148
Phone (210) 255-7586

433 Kitty Hawk Rd
Ste 219
Universal Cty, TX 78148
Phone (210) 566-1280

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

433 Kitty Hawk Rd
Suite 211
Universal City, TX 78148-3829
Phone (210) 501-8200

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1891350591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK RD STE 219",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483829",
            "telephone_number": "210-566-1280",
            "fax_number": "210-579-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK RD STE 219",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483829",
            "telephone_number": "210-566-1280",
            "fax_number": "210-579-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NE Loop 410 Ste 2019",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175213",
            "country_code": "US",
            "telephone_number": "210-566-1280",
            "fax_number": "210-579-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKER",
        "first_name": "DEANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.