Individual provider Active NPI

Annette Landry Lopez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1891451654
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66329 Issued in TX
Practice address
6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171
Phone
(210) 705-1749
Fax
(210) 610-5256
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 66329 TX Primary

Addresses

Primary practice location

6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171

Mailing address

6609 Blanco Rd Ste 365
San Antonio, TX 78216-6171
Phone (210) 705-1749

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
I20211203001068 TX Practitioner - Clinical Social Worker 5698165777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A New Start Counseling ServicesGroup PAC ID 1951701010, 15 clinicians

Practice addresses (Care Compare)

6609 Blanco Rd
Suite 325
San Antonio, TX 78216-6171
Phone (210) 833-4665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Start Counseling Services Clinical CurrentSince Nov 29, 2021 Accepting new patients

Locations

6609 Blanco Rd
Ste 365
San Antonio, TX 78216
Phone (210) 705-1749

6609 Blanco Rd
Ste 325
San Antonio, TX 78216
Phone (210) 705-1749

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1891451654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 365",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166171",
            "telephone_number": "210-705-1749",
            "fax_number": "210-610-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 365",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166171",
            "telephone_number": "210-705-1749",
            "fax_number": "210-610-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANNETTE",
        "middle_name": "LANDRY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.