Individual provider Active NPI

Jennifer Scardino, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1073497186
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109203 Issued in TX
Practice address
2501 W William Cannon Dr
Austin, TX 78745-5281
Phone
(512) 344-9181
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 109203 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr
Austin, TX 78745-5281

Mailing address

25500 Two Creeks Apt 2216
San Antonio, TX 78255-2510
Phone (726) 202-7663

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107004027 TX Practitioner - Clinical Social Worker 6608366570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 W William Cannon Dr
BDG 6 Suite a
Austin, TX 78745-5282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109203TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vonzee Interests LLC CurrentSince Aug 7, 2025 Accepting new patients
Michelle Zee Enterprises LLC Clinical PastSince Aug 7, 2025 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 6A
Austin, TX 78745
Phone (512) 344-9181

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1073497186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 TWO CREEKS APT 2216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552510",
            "telephone_number": "726-202-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-344-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINO",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.