Individual provider Active NPI

Alana Smith, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1043624380
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39958 Issued in TX
Practice address
1004 Mo Pac Cir Ste 100
Austin, TX 78746
Phone
(512) 230-7264
NPI assigned
Jun 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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 39958 TX Primary

Addresses

Primary practice location

1004 Mo Pac Cir Ste 100
Austin, TX 78746

Mailing address

289 Terrace Dr
Killeen, TX 76542-4903
Phone (512) 230-7264

Other practice location 1

1004 Mo Pac Cir Ste 100
Austin, TX 78746-6805
Phone (512) 230-7264

Other practice location 2

1004 Mo Pac Cir Ste 100
Austin, TX 78746-6805
Phone (512) 230-7264

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
39958TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1043624380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 TERRACE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424903",
            "telephone_number": "512-230-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MO PAC CIR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-230-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Mo Pac Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466805",
            "country_code": "US",
            "telephone_number": "512-230-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Mo Pac Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466805",
            "country_code": "US",
            "telephone_number": "512-230-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39958",
            "primary": true
        }
    ],
    "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 Oct 20, 2018; 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.