Organization Active NPI

Fire Sheep Inc

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1356574677
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19481 Issued in TX
Legal business name
FIRE SHEEP INC
Doing business as
Rosedale Clinic
Practice address
4902 Grover Ave
Austin, TX 78756-2629
Phone
(512) 454-7779
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Lisa Stuesser, LCSW
Title
President
Phone
(512) 454-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19481 TX Primary

Addresses

Primary practice location

4902 Grover Ave
Austin, TX 78756-2629

Mailing address

4902 Grover Ave
Austin, TX 78756-2629
Phone (512) 454-7779

Other names 1

  • Rosedale Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4900 Grover Ave
Austin, TX 78756
Phone (512) 454-7779

4902 Grover Ave
Austin, TX 78756
Phone (512) 454-7779

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1356574677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 GROVER AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562629",
            "telephone_number": "512-454-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 GROVER AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562629",
            "telephone_number": "512-454-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE SHEEP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "STUESSER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-454-7779",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosedale Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.