Angela M Botello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52498 Issued in TX

Practice address

1115 Mission Rd
San Antonio, TX 78210-4505

Phone

(210) 533-3504

NPI assigned

Apr 8, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alba Wellness Case Management LLC

  • Case Management Agency
  • Universal City, TX
  • NPI 1043877343
  NPD (past)
• Seton Home

  • Mental Illness Community Based Residential Treatment Facility
  • San Antonio, TX
  • NPI 1891987640
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1932528817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 CRESTVIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016621",
            "telephone_number": "210-854-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MISSION RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782104505",
            "telephone_number": "210-533-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Marie Bostick
• Yvette Fraire Bostick, M.S., CCC-SLP
• Mark Boston, M.D.
• Lorraine Boswell, STA
• Lisa Botello-Blanco, SLP
• Karen Botello
• Lindsey Ruth Botello
• Patricia Botello, ACNP-BC
• Sara Michele Botello, RN, NNP-BC
• Veronica Leal Botello, M.A. CCC-SLP

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.