Individual provider Active NPI

Elisabeth J Burleson-Porras, LCSW

  • Social Worker
  • Austin, TX
National Provider Identifier
1194151258
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
54671 Issued in TX
Practice address
7004 Bee Caves Rd
BLDG. 2, Suite 200
Austin, TX 78746-5004
Phone
(512) 306-1394
Fax
(512) 306-1603
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 54671 TX Primary

Addresses

Primary practice location

7004 Bee Caves Rd
BLDG. 2, Suite 200
Austin, TX 78746-5004

Mailing address

7004 Bee Caves Rd
BLDG. 2, Suite 200
Austin, TX 78746-5004
Phone (512) 306-1394

Other names 1

  • Libby Judice Other name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1194151258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD",
            "address_2": "BLDG. 2, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465004",
            "telephone_number": "512-306-1394",
            "fax_number": "512-306-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 BEE CAVES RD",
            "address_2": "BLDG. 2, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465004",
            "telephone_number": "512-306-1394",
            "fax_number": "512-306-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON-PORRAS",
        "first_name": "ELISABETH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "JUDICE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 12, 2016; 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.