Active NPI
Tara Chivukula, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1003081795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63364
- Practice address
- 1500 W 38TH St Ste 31
Austin, TX 78731-6318 - Phone
- (512) 270-1184
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 63364 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 076886-1 | NY |
Addresses
Primary practice location
1500 W 38TH St Ste 31
Austin, TX 78731-6318
Mailing address
1500 W 38TH St Ste 31
Austin, TX 78731-6318
Phone (646) 361-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076886-1 | NY | MD | Clinical Social Worker |
| 63364 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1003081795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W 38TH ST STE 31",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316318",
"telephone_number": "646-361-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W 38TH ST STE 31",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316318",
"telephone_number": "512-270-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVUKULA",
"first_name": "TARA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63364",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076886-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.