Individual provider Active NPI

Amy Eskelsen, MSW, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1174930697
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109229 Issued in TX
Practice address
13341 W Hwy 290 Ste 1-105
Austin, TX 78737-9160
Phone
(512) 640-2559
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 109229 TX Primary

Addresses

Primary practice location

13341 W Hwy 290 Ste 1-105
Austin, TX 78737-9160

Mailing address

PO Box 821
Leander, TX 78646-0821
Phone (360) 205-5965

Other practice location 1

2712 Stone Branch Dr
Leander, TX 78641-4615
Phone (360) 205-5965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170714002194 WA Practitioner - Clinical Social Worker 1850679929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1960NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince May 21, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 21, 2017 Accepting new patients
Snowdrop Wellness CurrentSince Apr 16, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Third Summit Group, Inc. CurrentSince Oct 2, 2023 Accepting new patients

Locations

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 5

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1174930697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786460821",
            "telephone_number": "360-205-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 W HWY 290 STE 1-105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379160",
            "telephone_number": "512-640-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2712 Stone Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786414615",
            "country_code": "US",
            "telephone_number": "360-205-5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKELSEN",
        "first_name": "AMY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2023-12-15",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.