Individual provider Active NPI

Sandra S. Gill, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1407964117
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32824 Issued in TX
Practice address
6000 S. Mopac Expressway, Suite 200
Austin, TX 78749-7866
Phone
(512) 244-4272
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000005088 TN
Clinical Social Worker 1041C0700X 32824 TX Primary

Addresses

Primary practice location

6000 S. Mopac Expressway, Suite 200
Austin, TX 78749-7866

Mailing address

600 Round Rock West Dr
Suite 606
Round Rock, TX 78681-5007
Phone (512) 632-2125

Other practice location 1

600 Round Rock West Dr
Suite 606
Round Rock, TX 78681-5007
Phone (512) 632-2125

Other identifiers 1

IdentifierTypeStateIssuer
162837207MedicaidTX

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
I20041210000863 TX Practitioner - Clinical Social Worker 1456318468 Reassigns benefits to 1 organization
Practice locations: Round Rock, TX; Buda, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272

2000 S Mays St
Round Rock, TX 78664-7580
Phone (512) 244-4272

6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000005088TNMDClinical Social Worker
32824TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone, MD PA CurrentSince Feb 15, 2017 Accepting new patients
Mark Malone MD PA CurrentSince Feb 15, 2017 Accepting new patients
Volunteer Behavioral Health Care System PastSince Jul 1, 2003 Accepting new patients

Locations

6000 S Mopac Expy
#200
Austin, TX 78749
Phone (512) 492-3702

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

Interoperability endpoints

  • Direct secure messaging: sandra.gill.1@24201.direct.athenahealth.com
  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1407964117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "address_2": "SUITE 606",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815007",
            "telephone_number": "512-632-2125",
            "fax_number": "512-671-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S. MOPAC EXPRESSWAY, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787497866",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Round Rock West Dr",
            "address_2": "Suite 606",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815007",
            "country_code": "US",
            "telephone_number": "512-632-2125",
            "fax_number": "512-671-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "SANDRA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162837207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.