Individual provider Active NPI

Maura Kinney, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1326640046
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68916 Issued in TX
Practice address
11940 Jollyville Road
Austin, TX 78759
Phone
(512) 250-1043
NPI assigned
Nov 9, 2020
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 68916 TX
Clinical Social Worker 1041C0700X 68916 TX Primary

Addresses

Primary practice location

11940 Jollyville Road
Austin, TX 78759

Mailing address

8402 Burrell Drive
Austin, TX 78757
Phone (217) 714-8440

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
I20230301002328 TX Practitioner - Clinical Social Worker 8325411911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shalom AustinGroup PAC ID 0749361921, 5 clinicians

Practice addresses (Care Compare)

11940 Jollyville Rd
Suite 110S
Austin, TX 78759-2325
Phone (512) 250-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68916TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Association of Austin Clinical CurrentSince Feb 1, 2023 Accepting new patients
Shalom Austin Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

11940 Jollyville Rd
Ste 110S
Austin, TX 78759
Phone (512) 250-1043

7300 Hart Ln
Austin, TX 78731
Phone (512) 250-1043

Interoperability endpoints

  • Direct secure messaging: maura.kinney.1@33027.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1326640046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 BURRELL DRIVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757",
            "telephone_number": "217-714-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 JOLLYVILLE ROAD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-250-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "MAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "68916",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.