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CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC NPI 1669506192


NPI Information

NPI: 1669506192
Provider Name: CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC

Doing Business As: CATHOLIC COUNSELING & CONSULTATION CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
7711 MADONNA
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 377-1133
Get Directions

CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC is a clinical social worker in San Antonio, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC NPI is 1669506192. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Catholic Counseling & Consultation Center.

The provider's business location address is:

7711 MADONNA
SAN ANTONIO, TX
ZIP 78216-620
Phone: (210) 377-1133
Fax: (210) 377-1230

The provider's authorized official is Howard B Kravitz .
The authorized official title is Managing Director and has the following contact phone number (210) 377-1133.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 4/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional17263TEXASNo
2101YP2500XCounselorProfessional17480TEXASNo
3101YP2500XCounselorProfessional18632TEXASNo
41041C0700XSocial WorkerClinical36151TEXASNo
5106H00000XMarriage & Family Therapist200928TEXASNo
61041C0700XSocial WorkerClinical34298TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148203601MEDICAIDTEXAS
286499QOTHERTEXASBCBS RUTKOWSKI
3145955401MEDICAIDTEXAS
4143544801MEDICAIDTEXAS
584444LOTHERTEXASBCBS KRAVITZ
6175693402MEDICAIDTEXAS
784446LOTHERTEXASBCBS KNORR
8161989201MEDICAIDTEXAS
984445LOTHERTEXASBCBS KLINE
1083896WMEDICARE ID-TYPE UNSPECIFIEDTEXASNICHOLAS JAMES RUTKOWSKI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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