Active NPI
Emily Jane Korman
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1053746115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61578
- Practice address
- 1600 Payton Gin Rd
Austin, TX 78758 - Phone
- (512) 836-2150
- NPI assigned
- Sep 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 61578 | TX | Primary |
Addresses
Primary practice location
1600 Payton Gin Rd
Austin, TX 78758
Mailing address
520 W Palmdale Blvd
Suite D
Palmdale, CA 93551-4229
Phone (661) 575-8395
Other practice location 1
520 W Palmdale Blvd
Suite D
Palmdale, CA 93551-4229
Phone (661) 575-8395 ext. 223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61578 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1053746115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W PALMDALE BLVD",
"address_2": "SUITE D",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514229",
"telephone_number": "661-575-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78758",
"telephone_number": "512-836-2150"
}
],
"practiceLocations": [
{
"address_1": "520 W Palmdale Blvd",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935514229",
"country_code": "US",
"telephone_number": "661-575-8395 x223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORMAN",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61578",
"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 May 29, 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.