Active NPI
Alicia Pace
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1396250908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56325
- Practice address
- 13805 Ann PL
Austin, TX 78728-7702 - Phone
- (979) 803-0208
- NPI assigned
- Dec 5, 2017
- 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 | 56325 | TX | Primary |
Addresses
Primary practice location
13805 Ann PL
Austin, TX 78728-7702
Mailing address
13805 Ann PL
Austin, TX 78728-7702
Other practice location 1
13838 The Lakes Blvd Apt 12303
Pflugerville, TX 78660-5670
Phone (512) 743-2175
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56325 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396250908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13805 ANN PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787287702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13805 ANN PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787287702",
"telephone_number": "979-803-0208"
}
],
"practiceLocations": [
{
"address_1": "13838 The Lakes Blvd Apt 12303",
"address_purpose": "LOCATION",
"city": "Pflugerville",
"state": "TX",
"postal_code": "786605670",
"country_code": "US",
"telephone_number": "512-743-2175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACE",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56325",
"primary": true
}
],
"identifiers": [],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.