Individual provider Active NPI

Tanya Navarro

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1891531224
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107788 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone
(210) 404-4317
NPI assigned
Jul 4, 2024
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 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 107788 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540

Mailing address

9642 Pleasanton PL
San Antonio, TX 78221
Phone (210) 683-6053

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
I20240903001747 TX Practitioner - Clinical Social Worker 8820537947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Counseling Center PLLCGroup PAC ID 3971930942, 6 clinicians

Practice addresses (Care Compare)

12915 Jones Maltsberger Rd
Suite 201
San Antonio, TX 78247-4540
Phone (210) 404-4317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Center, PLLC Clinical CurrentSince Aug 19, 2024 Accepting new patients

Locations

12915 Jones Maltsberger Rd
Ste 201
San Antonio, TX 78247
Phone (210) 404-4317

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": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1891531224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9642 PLEASANTON PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-683-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474540",
            "telephone_number": "210-404-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.