Brian Austin
Individual provider Active NPI Clinical Social Worker · Provo, UT
NPI 1235565615 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1235565615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8960317-3502 (UT)
- Practice address
- 151 S University Ave
Suite 3200
Provo, UT 84601-4427 - Phone
- (801) 851-7127
- NPI assigned
- Sep 18, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8960317-3502 | UT | MD | Clinical Social Worker |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Within Counseling | Clinical | Current |
Accepting new patients |
| Utah County Department of Drug and Alcohol Prevention and Treatment | Past | Accepting new patients |
Networks
- UT PPO D-SNP
- UT PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 8960317-3502 | UT | Yes |
Addresses
Primary practice location
151 S University Ave
Suite 3200
Provo, UT 84601-4427
Mailing address
151 S University Ave
Suite 3200
Provo, UT 84601-4427
Phone (801) 851-7127
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.