Individual provider Active NPI

Jennifer J Mauck, LMSW

  • Clinical Social Worker
  • Dripping Springs, TX
National Provider Identifier
1033992250
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105981 Issued in TX
Practice address
271 Bowlin CV
Dripping Springs, TX 78620-5138
Phone
(602) 790-5915
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105981 TX Primary

Addresses

Primary practice location

271 Bowlin CV
Dripping Springs, TX 78620-5138

Mailing address

271 Bowlin CV
Dripping Springs, TX 78620-5138
Phone (602) 790-5915

Other practice location 1

8500 N Mopac Expy Ste 402
Austin, TX 78759-8347
Phone (602) 790-5915

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105981TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1033992250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 BOWLIN CV",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205138",
            "telephone_number": "602-790-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 BOWLIN CV",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205138",
            "telephone_number": "602-790-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 N Mopac Expy Ste 402",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598347",
            "country_code": "US",
            "telephone_number": "602-790-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.