Active NPI
Daisy Ansley
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1043028566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64829
- Practice address
- 2025 Guadalupe St Ste 260
Austin, TX 78705-5642 - Phone
- (508) 658-3489
- Fax
- (833) 740-3387
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250107002266 | TX | Practitioner - Clinical Social Worker | 0840728622 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familywell PLLC | Clinical | Current | Accepting new patients |
| Familywell PLLC | Clinical | Current | Accepting new patients |
Locations
3201 Matlock Rd
Ste 350
Arlington, TX 76015
Phone (817) 468-3255
2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64829 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Mailing address
144 Oakland St
Wellesley, MA 02481-5323
Phone (508) 658-3489
Other names 1
NPPES NPI Registry- Daisy Perez
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2024.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1043028566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 OAKLAND ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815323",
"telephone_number": "508-658-3489",
"fax_number": "833-740-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055642",
"telephone_number": "508-658-3489",
"fax_number": "833-740-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSLEY",
"first_name": "DAISY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "64829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAISY",
"last_name": "PEREZ",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.