Individual provider Active NPI

Emily Sasser Bray

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1427636190
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53784 Issued in TX
Practice address
9501 N Capital of Texas Hwy Ste 104
Austin, TX 78759-7254
Phone
(512) 655-3796
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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 53784 TX Primary

Addresses

Primary practice location

9501 N Capital of Texas Hwy Ste 104
Austin, TX 78759-7254

Mailing address

7707 Hardy Dr
Austin, TX 78757-1342
Phone (512) 695-6959

Other practice location 1

7707 Hardy Dr
Austin, TX 78757-1342
Phone (512) 695-6959

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
53784TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1427636190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 HARDY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571342",
            "telephone_number": "512-695-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N CAPITAL OF TEXAS HWY STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597254",
            "telephone_number": "512-655-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Hardy Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787571342",
            "country_code": "US",
            "telephone_number": "512-695-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "EMILY",
        "middle_name": "SASSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53784",
            "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 Jul 8, 2023; 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.