Active NPI
Soco Psychotherapy, Inc
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOCO PSYCHOTHERAPY, INC
- Practice address
- 4425 Mopac Expressway South
BLDG II, Suite 204
Austin, TX 78735 - Phone
- (512) 592-9303
- Fax
- (512) 597-0668
- NPI assigned
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Dreslinski, LCSW
- Title
- President
- Phone
- (512) 592-9303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4425 Mopac Expressway South
BLDG II, Suite 204
Austin, TX 78735
Mailing address
4425 Mopac Expressway South
BLDG II, Suite 204
Austin, TX 78735
Phone (512) 592-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497265730 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2111 Dickson Dr
Ste 14
Austin, TX 78704
Phone (512) 567-2323
4425 S Mopac Expy
Ste 204
Austin, TX 78735
Phone (512) 592-9303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Austin, TX
- NPI 1497265730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1427616408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 MOPAC EXPRESSWAY SOUTH",
"address_2": "BLDG II, SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-592-9303",
"fax_number": "512-597-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 MOPAC EXPRESSWAY SOUTH",
"address_2": "BLDG II, SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-592-9303",
"fax_number": "512-597-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCO PSYCHOTHERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "DRESLINSKI",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-592-9303",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497265730",
"state": "TX"
}
],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.