Lotty Ackerman Mayer

Individual provider Active NPI Clinical Social Worker · Austin, TX

NPI 1124505060 · NPPES record last updated Jul 15, 2019

Key facts

NPI
1124505060
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
60023 (TX)
Practice address
3400 Kerbey LN
Austin, TX 78703
Phone
(512) 598-5019
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
60023TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60023 TX Yes

Addresses

Primary practice location

3400 Kerbey LN
Austin, TX 78703

Mailing address

3400 Kerbey LN
Austin, TX 78703-1455

Other practice location 1

1705 W Koenig Ln
Austin, TX 78756-1206
Phone (512) 598-5019

Other providers in Austin, TX

All providers in Austin, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.