Active NPI
Daniela De Los Angeles, LMSW
- Social Worker
- Austin, TX
National Provider Identifier
1053711101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 52552
- Practice address
- 105 W Riverside Dr Ste 120
Austin, TX 78704-1246 - Phone
- (512) 804-3000
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 52552 | TX | Primary |
Addresses
Primary practice location
105 W Riverside Dr Ste 120
Austin, TX 78704-1246
Mailing address
105 W Riverside Dr Ste 120
Austin, TX 78704-1246
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626002572 | TX | Order and Referring Only - Clinical Social Worker | 9638642044 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52552 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Travis County Mental Health and Mental Retardation Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Austin, TX
- NPI 1053632505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1053711101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W RIVERSIDE DR STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W RIVERSIDE DR STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041246",
"telephone_number": "512-804-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS ANGELES",
"first_name": "DANIELA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "52552",
"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 Aug 26, 2014; 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.