Individual provider Active NPI

Ariel Evelyn Rosenbaum Goward, LCSW, C-ASWCM

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1104194042
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52286 Issued in TX
Practice address
1507 North St Ste 1
Austin, TX 78756-2656
Phone
(512) 574-1722
Fax
(512) 843-8545
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TX
Clinical Social Worker 1041C0700X 52286 TX Primary

Addresses

Primary practice location

1507 North St Ste 1
Austin, TX 78756-2656

Mailing address

1507 North St Ste 1
Austin, TX 78756-2656
Phone (512) 574-1722

Other practice location 1

9111 Jollyville Rd
120
Austin, TX 78759-7411
Phone (512) 323-6994

Other practice location 2

6600 N LaMar Blvd
Austin, TX 78757
Phone (512) 574-1722

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Family Services CurrentSince Dec 20, 2011 Accepting new patients

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1104194042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 NORTH ST STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562656",
            "telephone_number": "512-574-1722",
            "fax_number": "512-843-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 NORTH ST STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562656",
            "telephone_number": "512-574-1722",
            "fax_number": "512-843-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Jollyville Rd",
            "address_2": "120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597411",
            "country_code": "US",
            "telephone_number": "512-323-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 N LaMar Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78757",
            "country_code": "US",
            "telephone_number": "512-574-1722",
            "fax_number": "512-843-8545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBAUM GOWARD",
        "first_name": "ARIEL",
        "middle_name": "EVELYN",
        "credential": "LCSW, C-ASWCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52286",
            "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 Jun 11, 2020; 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.