Individual provider Active NPI

Peter Floyd Daniels III, MSEE, LCSW, CSAT

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1427377415
Registry record updated May 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
42137 Issued in TX
Practice address
9600 Great Hills TRL
Suite 150W
Austin, TX 78759-6387
Phone
(512) 470-3243
NPI assigned
May 31, 2010
Last updated
May 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2010

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 42137 TX Primary

Addresses

Primary practice location

9600 Great Hills TRL
Suite 150W
Austin, TX 78759-6387

Mailing address

9600 Great Hills TRL
Suite 150W
Austin, TX 78759-6387
Phone (512) 470-3243

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

LicenseStateTypeSpecialty
42137TXMDSpeech-Language Assistant

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275264000000",
    "number": "1427377415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GREAT HILLS TRL",
            "address_2": "SUITE 150W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596387",
            "telephone_number": "512-470-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 GREAT HILLS TRL",
            "address_2": "SUITE 150W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596387",
            "telephone_number": "512-470-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PETER",
        "middle_name": "FLOYD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSEE, LCSW, CSAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2010-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "42137",
            "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 May 31, 2010; 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.