Individual provider Active NPI

Reese Connor Brinkley, LMSW

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1992522635
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108815 Issued in TX
Practice address
7122 Stonewall HL
San Antonio, TX 78256-1926
Phone
(210) 404-9696
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108815 TX Primary

Addresses

Primary practice location

7122 Stonewall HL
San Antonio, TX 78256-1926

Mailing address

7122 Stonewall HL
San Antonio, TX 78256-1926
Phone (210) 404-9696

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

State licenses

LicenseStateTypeSpecialty
108815TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
E P Ted Williams Mdpa CurrentSince Oct 20, 2024 Accepting new patients

Locations

7122 Stonewall Hl
San Antonio, TX 78256
Phone (210) 404-9696

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1992522635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 STONEWALL HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561926",
            "telephone_number": "210-404-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 STONEWALL HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561926",
            "telephone_number": "210-404-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "REESE",
        "middle_name": "CONNOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "108815",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2024; 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.