Korin Ann Schruben, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60857 Issued in TX

Practice address

100 W Dean Keeton St FL 5
Austin, TX 78712-1091

Phone

(512) 471-3515

NPI assigned

Nov 22, 2017

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1437663820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 EL DORADO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787373007",
            "telephone_number": "512-695-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST FL 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121091",
            "telephone_number": "512-471-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7850 El Dorado Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787373007",
            "country_code": "US",
            "telephone_number": "512-695-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRUBEN",
        "first_name": "KORIN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Francis Schroeder, BCBA
• Teri Schroeder, LCSW
• William Andrew Schroeder IV, LPC
• Rachel Schroer, APRN, CPNP-PC/AC
• Jake William Schroeter, CST
• Dylan Schuch
• Allie Schuck
• Kennedy Nicole Schuelke
• Wendy Lynn Schuelke, LCSW-S
• Jamie Suzanne Schuerg, LCSW

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.