Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nichole Jean McDaniel

Individual provider Clinical Social Worker · NPI 1770326092

Nichole Jean McDaniel is a Clinical Social Worker in San Antonio, Texas. Qualified in 2022, 4 years ago. Practices with Desta Therapy, LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

16607 Blanco Rd Ste 12103
San Antonio, TX 78232-1961
Phone: (210) 417-9272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (TX)

Record details

NPI number1770326092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Desta Therapy, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Antonio