Individual provider Active NPI

Marian R Redsun

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1427685353
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25848 Issued in TX
Practice address
9300 Research Blvd Ste 320
Austin, TX 78759-6569
Phone
(512) 649-2270
Fax
(512) 727-0476
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 25848 TX Primary

Addresses

Primary practice location

9300 Research Blvd Ste 320
Austin, TX 78759-6569

Mailing address

PO Box 660253
Austin, TX 78766-7253

Other names 1

  • Marian R Farnsworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727003676 TX Practitioner - Clinical Social Worker 6800210519 Reassigns benefits to 1 organization
Practice locations: Spring, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18640 FM 1488 Rd
A 282
Magnolia, TX 77354-8516
Phone (832) 510-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25848TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marian Redsun, Therapy Clinical CurrentSince Apr 26, 2024 Accepting new patients

Locations

18640 FM 1488 Rd
#A282
Magnolia, TX 77354
Phone (832) 510-0373

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1427685353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660253",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787667253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 RESEARCH BLVD STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596569",
            "telephone_number": "512-649-2270",
            "fax_number": "512-727-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDSUN",
        "first_name": "MARIAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "FARNSWORTH",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.