Active NPI
Joan Elaine Womack, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1407001860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S16461
- Practice address
- 5217 Old Spicewood Springs Rd
Apt #1104
Austin, TX 78731-1036 - Phone
- (512) 505-8420
- NPI assigned
- Nov 25, 2008
- Last updated
- Nov 25, 2008
- 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 | S16461 | TX | Primary |
Addresses
Primary practice location
5217 Old Spicewood Springs Rd
Apt #1104
Austin, TX 78731-1036
Mailing address
5217 Old Spicewood Springs Rd
Apt #1104
Austin, TX 78731-1036
Phone (512) 505-8420
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013374306-00 | Other | TX | MAGELLAN BEHAVIORAL HEALTH, HUMANA TEXAS/MEDICARE |
| 0639809-01 | Medicaid | TX | |
| JW0873770 | Other | NY | FINGER LAKES BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| S16461 | TX | MD | Clinical Social Worker |
| 16461 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1407001860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 OLD SPICEWOOD SPRINGS RD",
"address_2": "APT #1104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311036",
"telephone_number": "512-505-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5217 OLD SPICEWOOD SPRINGS RD",
"address_2": "APT #1104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311036",
"telephone_number": "512-505-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "JOAN",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S16461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH, HUMANA TEXAS/MEDICARE",
"identifier": "013374306-00",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0639809-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FINGER LAKES BLUE CROSS BLUE SHIELD",
"identifier": "JW0873770",
"state": "NY"
}
],
"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 Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.