Active NPI
Rebecca Van Tassel, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1083976070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 55866
- Practice address
- 821 W 11TH St
Austin, TX 78701-2009 - Phone
- (713) 391-9966
- Fax
- (512) 727-0846
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801092462 | MI | |
| Clinical Social Worker | 1041C0700X | 55866 | TX | Primary |
Addresses
Primary practice location
821 W 11TH St
Austin, TX 78701-2009
Mailing address
821 W 11TH St
Austin, TX 78701-2009
Phone (713) 391-9966
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092462 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1083976070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 W 11TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012009",
"telephone_number": "713-391-9966",
"fax_number": "512-727-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W 11TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012009",
"telephone_number": "713-391-9966",
"fax_number": "512-727-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN TASSEL",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801092462",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "55866",
"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 21, 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.