Individual provider Active NPI

Madeline Beaulne-Ortiz, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1376342261
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104578 Issued in TX
Practice address
921 W New Hope Dr Ste 504
Cedar Park, TX 78613-6786
Phone
(512) 688-4303
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104578 TX Primary

Addresses

Primary practice location

921 W New Hope Dr Ste 504
Cedar Park, TX 78613-6786

Mailing address

1508 Parkwood Dr
Leander, TX 78641-8611
Phone (214) 680-6482

Other names 1

  • Madeline Beaulne Former name

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
I20250402000019 TX Practitioner - Clinical Social Worker 4284157090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104578TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC CurrentSince Mar 15, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jun 16, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical CurrentSince Jun 16, 2025 Accepting new patients
The Shepherds New Pathways, LLC CurrentSince Mar 15, 2025 Accepting new patients

Locations

921 W New Hope Dr
Ste 504
Cedar Park, TX 78613
Phone (512) 688-4303

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

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, 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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1376342261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 PARKWOOD DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786418611",
            "telephone_number": "214-680-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W NEW HOPE DR STE 504",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136786",
            "telephone_number": "512-688-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULNE-ORTIZ",
        "first_name": "MADELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "BEAULNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.