MR. JIMMY DANIEL HENRY (MSW, LCSW-S) – Clinical Social Worker, NPI 1467442434
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,555 CLINICAL SOCIAL WORKER in TX
Provider Addresses for MR. JIMMY DANIEL HENRY (MSW, LCSW-S)
3851 ROGER BROOKE DR
MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-3045
Fax: (210) 916-1808
Type: Location
4246, Birch Tree Street, San Antonio, Bexar County, Texas, 78247, United States
SAN ANTONIO, TX 782472011
Phone: (210) 867-5962
Fax: (210) 916-1808
Type: Mailing
18235 BULVERDE RD
SUITE 105, #36
SAN ANTONIO, TX 78259
Phone: (210) 268-6125
Fax: (419) 745-8425
Type: Mailing
7718 BROADWAY STE 106
SAN ANTONIO, TX 782093243
Phone: (102) 686-1252
Fax: (419) 745-8425
Type: Location
6029 CARRIAGE CPE
SAN ANTONIO, TX 782612242
Phone: (210) 268-6125
Fax: (419) 745-8425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220809000564 | I | Clinical Social Worker | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CO | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | PA | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TX |
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