Individual provider Active NPI

Julia Elizabeth Gibson, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1104783042
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110751 Issued in TX
Practice address
8908 Grelle LN Apt a
Austin, TX 78744-8110
Phone
(512) 387-4364
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 110751 TX Primary

Addresses

Primary practice location

8908 Grelle LN Apt a
Austin, TX 78744-8110

Mailing address

8908 Grelle LN Apt a
Austin, TX 78744-8110
Phone (512) 387-4364

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
I20260211001725 TX Practitioner - Clinical Social Worker 1557840394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Oak Collective LLCGroup PAC ID 9133516404, 3 clinicians

Practice addresses (Care Compare)

3571 Far W Blvd
Suite 3596
Austin, TX 78731-3064
Phone (512) 765-6657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110751TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Collective LLC Clinical CurrentSince Feb 2, 2026 Accepting new patients

Locations

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

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": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1104783042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 GRELLE LN APT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787448110",
            "telephone_number": "512-387-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 GRELLE LN APT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787448110",
            "telephone_number": "512-387-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JULIA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.