Active NPI
Kathryn Clifton
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1356565204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17906
- Practice address
- 1501 Enfield Rd
Austin, TX 78703-3404 - Phone
- (512) 258-4579
- Fax
- (512) 322-9461
- NPI assigned
- Apr 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17906 | TX | Primary |
Addresses
Primary practice location
1501 Enfield Rd
Austin, TX 78703-3404
Mailing address
804 Rio Grande St
Austin, TX 78701-2201
Phone (512) 258-4579
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155184801 | Medicaid | TX | |
| 146563502 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17906 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Behavioral Health, LLC | Clinical | Past | Accepting new patients |
| Northside Psychological Services, Inc. | Past | Accepting new patients | |
| Austin Children'S Shelter | Past | Accepting new patients | |
| Austin Children'S Shelter | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1730303561
-
- Pediatric Nurse Practitioner
- Austin, TX
- NPI 1801078241
-
- Clinical Psychologist
- Marietta, GA
- NPI 1184997439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356565204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 RIO GRANDE ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012201",
"telephone_number": "512-258-4579",
"fax_number": "512-322-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ENFIELD RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787033404",
"telephone_number": "512-258-4579",
"fax_number": "512-322-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "17906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155184801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146563502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.