Active NPI
Andrea Braun Albalawi, LCSW, CCM
- Clinical Social Worker
- Lakeway, TX
National Provider Identifier
1326790379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 52469
- Practice address
- 111 Perpetuation Dr
Lakeway, TX 78734-6280 - Phone
- (512) 956-9856
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904016787 | VA | |
| Clinical Social Worker | 1041C0700X | 52469 | TX | Primary |
Addresses
Primary practice location
111 Perpetuation Dr
Lakeway, TX 78734-6280
Mailing address
111 Perpetuation Dr
Lakeway, TX 78734-6280
Phone (512) 956-9856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52469 | TX | MD | Clinical Social Worker |
| 0904016787 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Self Therapy | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1326790379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PERPETUATION DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787346280",
"telephone_number": "512-956-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PERPETUATION DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787346280",
"telephone_number": "512-956-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBALAWI",
"first_name": "ANDREA",
"middle_name": "BRAUN",
"credential": "LCSW, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016787",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "52469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.