Individual provider Active NPI

Maureen Havelka, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1457821654
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55306 Issued in TX
Practice address
4005 Spicewood Springs Rd Ste B401
Austin, TX 78759-8680
Phone
(512) 548-8277
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 55306 TX Primary

Addresses

Primary practice location

4005 Spicewood Springs Rd Ste B401
Austin, TX 78759-8680

Mailing address

701 Southcreek Dr
Round Rock, TX 78664-7152
Phone (216) 269-1014

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
I20190218002209 TX Practitioner - Clinical Social Worker 6709124704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Polar LN
Suite 203
Cedar Park, TX 78613-3065
Phone (512) 548-8277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen Havelka LCSW PLLC Clinical CurrentSince Jan 1, 2019 Accepting new patients

Locations

4005 Spicewood Springs Rd
Ste B401
Austin, TX 78759
Phone (512) 548-8277

3000 Polar Ln
Ste 203
Cedar Park, TX 78613
Phone (512) 483-3556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1457821654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTHCREEK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647152",
            "telephone_number": "216-269-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 SPICEWOOD SPRINGS RD STE B401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598680",
            "telephone_number": "512-548-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVELKA",
        "first_name": "MAUREEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.