Individual provider Active NPI

Joseph Albert Bellard, LCSW

  • Clinical Social Worker
  • West Lake Hills, TX
National Provider Identifier
1447308044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17212 Issued in TX
Practice address
3355 Bee Cave Rd
BLDG. 3, Suite 301a
West Lake Hills, TX 78746-6775
Phone
(512) 469-9550
Fax
(512) 477-3545
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17212 TX Primary

Addresses

Primary practice location

3355 Bee Cave Rd
BLDG. 3, Suite 301a
West Lake Hills, TX 78746-6775

Mailing address

PO Box 40475
Austin, TX 78704-0008
Phone (512) 469-9550

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
I20120307000475 TX Practitioner - Clinical Social Worker 7012176290 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Austin, TX 78704
Phone (512) 469-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17212TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447308044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40475",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040008",
            "telephone_number": "512-469-9550",
            "fax_number": "512-477-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVE RD",
            "address_2": "BLDG. 3, SUITE 301A",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466775",
            "telephone_number": "512-469-9550",
            "fax_number": "512-477-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLARD",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.