John Nathaniel Austin Jr., MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Wilmington, DE

NPI 1255867800 · NPPES record last updated May 2, 2017

Key facts

NPI
1255867800
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
Q1-0001356 (DE)
Practice address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone
(302) 382-6042
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
Q1-0001356DEMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Q1-0001356 DE
Clinical Social Worker 1041C0700X Q1-0001356 DE Yes

Addresses

Primary practice location

1601 Kirkwood Hwy
Wilmington, DE 19805-4917

Mailing address

1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 382-6042

Other providers in Wilmington, DE

All providers in Wilmington, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.