Active NPI
Kara Hartzell
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1386017234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56523
- Practice address
- 4131 Spicewood Springs Rd
Suite N3
Austin, TX 78759-8661 - Phone
- (512) 843-0436
- NPI assigned
- Nov 1, 2015
- Last updated
- Nov 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 56523 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd
Suite N3
Austin, TX 78759-8661
Mailing address
4131 Spicewood Springs Rd
Suite N3
Austin, TX 78759-8661
Other names 1
- Kara Trider
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160211001351 | TX | Practitioner - Clinical Social Worker | 2062716020 | Practice locations: Austin, TX; Dallas, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4601 Spicewood Springs Rd
Suite 200
Austin, TX 78759-8598
Phone (512) 988-3363
7515 Greenville Ave
Suite 903
Dallas, TX 75231-0501
Phone (512) 988-3363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56523 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446336000000",
"number": "1386017234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "SUITE N3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "SUITE N3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-843-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "KARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-01",
"last_updated": "2015-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "TRIDER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.