Active NPI
Sean Isaac Berkley, LMSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1417460296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60887
- Practice address
- 601 W 18TH St
Austin, TX 78701-1111 - Phone
- (512) 300-3062
- Fax
- (512) 233-2598
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- 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 | 60887 | TX | Primary |
Addresses
Primary practice location
601 W 18TH St
Austin, TX 78701-1111
Mailing address
4808 Gray Fox Dr
Austin, TX 78759-4217
Phone (512) 300-3062
Other practice location 1
4601 Spicewood Springs Rd
Austin, TX 78759-8598
Phone (512) 300-3062
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60887 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atx Recovery Management, LLC | Clinical | Current | Accepting new patients |
| Sean Berkley and Associates, LLC | Current | Accepting new patients |
Locations
601 W 18th St
Austin, TX 78701
Phone (512) 300-3062
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Austin, TX
- NPI 1528779675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417460296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 GRAY FOX DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594217",
"telephone_number": "512-300-3062",
"fax_number": "512-233-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 18TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011111",
"telephone_number": "512-300-3062",
"fax_number": "512-233-2598"
}
],
"practiceLocations": [
{
"address_1": "4601 Spicewood Springs Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598598",
"country_code": "US",
"telephone_number": "512-300-3062",
"fax_number": "512-233-2598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERKLEY",
"first_name": "SEAN",
"middle_name": "ISAAC",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60887",
"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.