Active NPI
Patrick Turbiville, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1053970004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62530
- Practice address
- 4131 Spicewood Springs Rd Ste K6
Austin, TX 78759-8600 - Phone
- (512) 806-0137
- Fax
- (512) 842-7256
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62530 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste K6
Austin, TX 78759-8600
Mailing address
5003 Walzem Rd Ste 745
Windcrest, TX 78218-2118
Phone (512) 806-0137
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 |
|---|---|---|---|
| 62530 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1053970004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 WALZEM RD STE 745",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782182118",
"telephone_number": "512-806-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE K6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598600",
"telephone_number": "512-806-0137",
"fax_number": "512-842-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURBIVILLE",
"first_name": "PATRICK",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2022-01-14",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62530",
"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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.