Individual provider Active NPI

Marissa Bortenstein, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1215437504
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59315 Issued in TX
Practice address
7701 N Lamar Blvd Ste 313
Austin, TX 78752-1080
Phone
(512) 265-5220
Fax
(512) 532-6896
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 59315 TX Primary

Addresses

Primary practice location

7701 N Lamar Blvd Ste 313
Austin, TX 78752-1080

Mailing address

PO Box 49431
Austin, TX 78765-9431
Phone (512) 265-5220

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
I20180723001026 TX Practitioner - Clinical Social Worker 4082961073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7701 N Lamar Blvd
Suite 328
Austin, TX 78752-1080
Phone (512) 265-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59315TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marissa Bortenstein, LCSW, PLLC Clinical CurrentSince Jun 26, 2018 Accepting new patients

Locations

2911 Medical Arts St
Ste 9
Austin, TX 78705
Phone (512) 474-6321

7701 N Lamar Blvd
Ste 313
Austin, TX 78752
Phone (512) 265-5220

7701 N Lamar Blvd
Ste 328
Austin, TX 78752
Phone (254) 503-9553

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1215437504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49431",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787659431",
            "telephone_number": "512-265-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 N LAMAR BLVD STE 313",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521080",
            "telephone_number": "512-265-5220",
            "fax_number": "512-532-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTENSTEIN",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.