| Jewish Family Service Of San Antonio Texas Inc. | |
|
12500 Nw Military Hwy, Ste 250 San Antonio TX 78231 | |
| (210) 302-6920 | |
| (210) 302-6952 |
| Full Name | Jewish Family Service Of San Antonio Texas Inc. |
|---|---|
| Speciality | Counselor |
| Location | 12500 Nw Military Hwy, Ste 250, San Antonio, Texas |
| Authorized Official Name and Position | Ruth Lewis (CREDENTIALING) |
| Authorized Official Contact | 2103026943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service Of San Antonio Texas Inc. 12500 Nw Military Hwy, Ste 250 San Antonio TX 78231 Ph: (210) 302-6920 | Jewish Family Service Of San Antonio Texas Inc. 12500 Nw Military Hwy, Ste 250 San Antonio TX 78231 Ph: (210) 302-6920 |
| NPI Number | 1679606701 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 8325951155 |
|---|---|
| Medicare Enrollment ID | O20031107000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679606701 | NPI | - | NPPES |
| Provider Name | Jocasta Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679945869 PECOS PAC ID: 1850657743 Enrollment ID: I20200108000241 |
| Provider Name | Diana Gabriela Lujan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316686249 PECOS PAC ID: 6002292430 Enrollment ID: I20221007001113 |
| Provider Name | Roberta Kay Varela-hein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407990344 PECOS PAC ID: 4587001607 Enrollment ID: I20240326000552 |
| Provider Name | Brittney Lin Barton-wagner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386341683 PECOS PAC ID: 0941647804 Enrollment ID: I20240327001705 |
| Provider Name | Alejandra Cue |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558127647 PECOS PAC ID: 2062850787 Enrollment ID: I20240401001650 |
| Provider Name | Celina Canales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841753803 PECOS PAC ID: 9739527250 Enrollment ID: I20240403002000 |
| Provider Name | Mary Carmen Calatayud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538487012 PECOS PAC ID: 1254779671 Enrollment ID: I20240404002080 |
| Provider Name | Patricia B Reichert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356535512 PECOS PAC ID: 0547600256 Enrollment ID: I20240429002025 |
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