Individual provider Active NPI

Richard Morris Pino, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1275091050
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61908 Issued in TX
Practice address
5015 S Ih 35
Austin, TX 78744-2713
Phone
(515) 804-3200
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 61908 TX Primary

Addresses

Primary practice location

5015 S Ih 35
Austin, TX 78744-2713

Mailing address

1430 Collier St
Austin, TX 78704-2911

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
I20190515001860 TX Practitioner - Clinical Social Worker 5799028742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61908TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Mar 25, 2019 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Mar 25, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 5, 2021 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

1631 E 2nd St
Ste D
Austin, TX 78702
Phone (512) 804-3600

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Interoperability endpoints

  • Direct secure messaging: richardpino@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1275091050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442713",
            "telephone_number": "515-804-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "RICHARD",
        "middle_name": "MORRIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.