Jessica Noreen Nathaniel, LCSW-S
Individual provider Active NPI Clinical Social Worker · Austin, TX
NPI 1295543437 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1295543437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 65553 (TX)
- Practice address
- 3705 Medical Pkwy Ste 410
Austin, TX 78705-1023 - Phone
- (512) 320-5779
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Center LLC
Practice addresses (Care Compare)
3705 Medical Pkwy
Suite 410
Austin, TX 78705-1023
Phone (888) 374-5066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250224000036 | TX | Practitioner - Clinical Social Worker | 1658891577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65553 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center LLC, | Current |
Accepting new patients | |
| Family Care Center, LLC | Current |
Accepting new patients |
Locations
3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65553 | TX | Yes |
Addresses
Primary practice location
3705 Medical Pkwy Ste 410
Austin, TX 78705-1023
Mailing address
12008 Plains Valley Dr
Del Valle, TX 78617-3510
Phone (210) 334-5900
Other providers in Austin, TX
- Andrea Natale
- Natalie Kretsch PHD PLLC
- Raghavendran Natarajan
- Rekha Nath
- Komal Nathani
- Catherine Nation
- David Andrew Nation
- National House Call Practitioners
- National Mentor Healthcare
- National Mentor Healthcare
All providers in Austin, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.