Individual provider Active NPI

Neathery Falchuk, LCSW-S, CGP

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1073972063
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59734 Issued in TX
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

Updated by the provider on Mar 17, 2021

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 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

LicenseStateTypeSpecialty
59734TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ample and Rooted PLLC CurrentSince Sep 1, 2020 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.

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.

Verify at the official NPI Registry.