Individual provider Active NPI

Bree Borgsteadt, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1154733038
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
40491 Issued in TX
Practice address
11615 Angus Rd
Ste. 117a
Austin, TX 78759-4078
Phone
(512) 695-9283
Fax
(512) 456-5966
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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 40491 TX Primary

Addresses

Primary practice location

11615 Angus Rd
Ste. 117a
Austin, TX 78759-4078

Mailing address

11615 Angus Rd
Ste. 117a
Austin, TX 78759-4078
Phone (512) 695-9283

Other names 1

  • Bree Anna Coffman Former name

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
I20141231000639 TX Practitioner - Clinical Social Worker 2567785330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3626 Williams Dr
Suite 100
Georgetown, TX 78628-4092
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40491TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Dec 2, 2024 Accepting new patients
Family Care Center LLC, CurrentSince Dec 2, 2024 Accepting new patients

Locations

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

3626 Williams Dr
Ste 100
Georgetown, TX 78628
Phone (512) 643-0659

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

Organizations & group practices 2

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1154733038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD",
            "address_2": "STE. 117A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594078",
            "telephone_number": "512-695-9283",
            "fax_number": "512-456-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD",
            "address_2": "STE. 117A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594078",
            "telephone_number": "512-695-9283",
            "fax_number": "512-456-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTEADT",
        "first_name": "BREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREE",
            "last_name": "COFFMAN",
            "middle_name": "ANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.