Jewish Community Association of Austin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEWISH COMMUNITY ASSOCIATION OF AUSTIN

Practice address

11940 Jollyville Rd
Suite 110 South
Austin, TX 78759-2327

Phone

(512) 250-1043

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mitch Sudolsky, LCSW

Title

Executive Director

Phone

(512) 250-1043

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shalom Austin

  • Clinical Social Worker
  • Austin, TX
  • NPI 1114466364

  O20091009000565

  Same enrollment

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Burnett, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1922846336
  NPD
• Christina Marie Gietz, LPC

  • Professional Counselor
  • Austin, TX
  • NPI 1881887412
  NPD
• Emilie A Howitt, LPC, LCDC

  • Professional Counselor
  • Austin, TX
  • NPI 1922440262
  NPD
• Maura Kinney, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1326640046
  NPD
• Shelly Russell, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1043586860
  NPD
• Matthew Smith, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1235819657
  NPD
• Chloe Picot-Jacobs, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1457023558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1003831892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 JOLLYVILLE RD",
            "address_2": "SUITE 110 SOUTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592327",
            "telephone_number": "512-250-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 JOLLYVILLE RD",
            "address_2": "SUITE 110 SOUTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592327",
            "telephone_number": "512-250-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COMMUNITY ASSOCIATION OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SUDOLSKY",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-250-1043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Faulkner Jewell, L.P.C.
• Janet N Jewell, MD
• Ashleigh Danielle Jewett, LCSW
• Courtney Jewett, MS, LPC
• Heather Jewett, MS, RDN, LD
• Samyukta Sameer Jhavar, MD
• Chirag Dilip Jhaveri, M.D.
• Ravi Jay Jhaveri, MD
• Ashwin Jhawer
• Jenny Ji

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.