Individual provider Active NPI

Joelle Yvonne Maruniak, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1487085874
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55280 Issued in TX
Practice address
211 Comal St
Austin, TX 78702-4326
Phone
(512) 978-9200
Fax
(512) 901-9757
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 55280 TX Primary

Addresses

Primary practice location

211 Comal St
Austin, TX 78702-4326

Mailing address

211 Comal St
Austin, TX 78702-4326
Phone (512) 978-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1487085874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024326",
            "telephone_number": "512-978-9200",
            "fax_number": "512-901-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COMAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024326",
            "telephone_number": "512-978-9200",
            "fax_number": "512-901-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUNIAK",
        "first_name": "JOELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.