Individual provider Active NPI

Abigael Marie Huntoon, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1417548645
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66688 Issued in TX
Practice address
835 N Pleasant Valley Rd
Austin, TX 78702-3601
Phone
(512) 735-2106
NPI assigned
Jan 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66688 TX Primary

Addresses

Primary practice location

835 N Pleasant Valley Rd
Austin, TX 78702-3601

Mailing address

835 N Pleasant Valley Rd
Austin, TX 78702-3601
Phone (512) 735-2106

Other practice location 1

5015 S Ih 35 Ste 200
Austin, TX 78744-2714
Phone (512) 703-1396

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

LicenseStateTypeSpecialty
66688TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1417548645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N PLEASANT VALLEY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023601",
            "telephone_number": "512-735-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N PLEASANT VALLEY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023601",
            "telephone_number": "512-735-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5015 S Ih 35 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787442714",
            "country_code": "US",
            "telephone_number": "512-703-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTOON",
        "first_name": "ABIGAEL",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66688",
            "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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.