Individual provider Active NPI

Brenda Lea Cloyd, SOCIAL WORKER

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1942952049
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4723 Issued in SC
Practice address
11788 Culebra Rd Apt 6107
San Antonio, TX 78253-4368
Phone
(469) 338-7016
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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 4723 SC Primary

Addresses

Primary practice location

11788 Culebra Rd Apt 6107
San Antonio, TX 78253-4368

Mailing address

11788 Culebra Rd Apt 6107
San Antonio, TX 78253-4368
Phone (469) 338-7016

Other names 1

  • Brenda Lea Cloyd Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1942952049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD APT 6107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534368",
            "telephone_number": "469-338-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD APT 6107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534368",
            "telephone_number": "469-338-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOYD",
        "first_name": "BRENDA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CLOYD",
            "middle_name": "LEA",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.