Active NPI
Alicia Nielson, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1952915977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63221
- Practice address
- 8637 Fredericksburg Rd Ste 100
San Antonio, TX 78240-1283 - Phone
- (210) 774-3562
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63221 | TX | Primary |
Addresses
Primary practice location
8637 Fredericksburg Rd Ste 100
San Antonio, TX 78240-1283
Mailing address
8406 Golden Sunset
San Antonio, TX 78250-2131
Phone (210) 591-2664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63221 | Other | TX | TEXAS SOCIAL WORK LICENSING BOARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE Loop
410 Suite D200
San Antonio, TX 78209-1407
Phone (210) 822-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63221 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Alamo Heights Counseling Inc. | Clinical | Current | Accepting new patients |
Locations
900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600
Interoperability endpoints
- alicianielson@tdh.allscriptsdirect.net
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": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1952915977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8406 GOLDEN SUNSET",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782502131",
"telephone_number": "210-591-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8637 FREDERICKSBURG RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401283",
"telephone_number": "210-774-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "ALICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS SOCIAL WORK LICENSING BOARD",
"identifier": "63221",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.