Active NPI
Jessica Fink, LCSW-S
- Clinical Social Worker
- Georgetown, TX
National Provider Identifier
1487223053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 702 Algerita Dr
Georgetown, TX 78628-2505 - Phone
- (512) 522-7291
- Fax
- (888) 809-1784
- NPI assigned
- Jun 18, 2021
- Last updated
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
702 Algerita Dr
Georgetown, TX 78628-2505
Mailing address
702 Algerita Dr
Georgetown, TX 78628-2505
Phone (512) 522-7291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 7, 2023 through Dec 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50905 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1487223053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 ALGERITA DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282505",
"telephone_number": "512-522-7291",
"fax_number": "888-809-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 ALGERITA DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282505",
"telephone_number": "512-522-7291",
"fax_number": "888-809-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "JESSICA",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.