Active NPI
Fire Sheep Inc
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1356574677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.