Individual provider Active NPI

Melissa Myra Bueno, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1912719253
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56877 Issued in TX
Practice address
2010 Sladen HLS
San Antonio, TX 78253-4484
Phone
(210) 854-1991
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 56877 TX Primary

Addresses

Primary practice location

2010 Sladen HLS
San Antonio, TX 78253-4484

Mailing address

2010 Sladen HLS
San Antonio, TX 78253-4484
Phone (210) 854-1991

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
I20250217001695 TX Practitioner - Clinical Social Worker 0648700930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

11207 Wild Pne
Suite 103
San Antonio, TX 78253-7293
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Feb 5, 2025 Accepting new patients
Family Care Center LLC, CurrentSince Feb 5, 2025 Accepting new patients

Locations

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

11207 Wild Pne
Ste 103
San Antonio, TX 78253
Phone (210) 201-1603

Organizations & group practices 2

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1912719253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SLADEN HLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534484",
            "telephone_number": "210-854-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SLADEN HLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534484",
            "telephone_number": "210-854-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "MELISSA",
        "middle_name": "MYRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.