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SHAD LEVI STOUT
NPI 1942935648
Social Worker - Clinical in San Antonio, TX

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
1401 DEZARAE APT 3, SAN ANTONIO, TX 78253(210) 529-8410 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2026, Jul 18, 2022 (2 updates tracked since 2022).

About Shad Levi Stout NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAD LEVI STOUT (NPI 1942935648) is an individual clinical provider in San Antonio, Texas, licensed in Texas (108250) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942935648
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSHAD LEVI STOUT
Location Address1401 DEZARAE APT 3San Antonio, TX 78253-5986
Mailing Address8903 Veranda CtSan Antonio, TX 78250-2609 · (985) 705-7478
Phone(210) 529-8410
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1942935648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 108250
Definition
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.
1401 DEZARAE APT 3, San Antonio, TX 78253
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shad Levi Stout is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729553508
PECOS Enrollment IDI20260409000618
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shad Stout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center LLC,
96 mi
Mental Health (Including Community Mental Health Center)
551 S. IH 35, SUITE 200
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 211 clinicians in this Medicare group
NPI 1427786482 (719) 540-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNETTE MARIE MINNER LCDC-I
Counselor (Addiction (Substance Use Disorder))
1401 DEZARAE APT 3
SAN ANTONIO, TX 78253
Bexar County (210) 530-4167
SHANNON O'DONNELL LCSW-S, LCDC
Social Worker
1401 DEZARAE APT 3
SAN ANTONIO, TX 78253
Bexar County (210) 530-4167
BOLANLE OJO LCDC-I
Counselor (Addiction (Substance Use Disorder))
1401 DEZARAE APT 3
SAN ANTONIO, TX 78253
Bexar County (210) 530-4167
LISA AGUILAR M.A.
Counselor (Professional)
1401 DEZARAE APT 3
SAN ANTONIO, TX 78253
Bexar County (210) 439-6342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shad Stout's NPI number?

The NPI number for Shad Stout is 1942935648. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Shad Stout located?

Shad Stout practices at 1401 Dezarae Apt 3, San Antonio, TX 78253. The listed phone number is (210) 529-8410.

What is Shad Stout's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shad Stout enrolled in Medicare?

Yes. Shad Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shad Stout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shad Stout reassigns Medicare benefits to Family Care Center LLC, (Round Rock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shad Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shad Stout accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Shad Stout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shad Stout was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.