Active NPI
Neathery Falchuk, LCSW-S, CGP
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1073972063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59734
- Practice address
- 1700 S Lamar Blvd Ste 338
Austin, TX 78704-3363 - Phone
- (512) 759-0595
- NPI assigned
- Feb 18, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59734 | TX | Primary |
Addresses
Primary practice location
1700 S Lamar Blvd Ste 338
Austin, TX 78704-3363
Mailing address
1700 S Lamar Blvd Ste 338
Austin, TX 78704-3363
Phone (915) 549-6660
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 |
|---|---|---|---|
| 59734 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ample and Rooted PLLC | Current | Accepting new patients |
Locations
1700 S Lamar Blvd
Ste 338
Austin, TX 78704
Phone (316) 727-4942
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
- NPI 1467068247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1073972063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S LAMAR BLVD STE 338",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043363",
"telephone_number": "915-549-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S LAMAR BLVD STE 338",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043363",
"telephone_number": "512-759-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCHUK",
"first_name": "NEATHERY",
"credential": "LCSW-S, CGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59734",
"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 Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.