Active NPI
Anna Escamilla, LCSW, PH.D.
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1487759189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02797
- Practice address
- 11673 Jollyville Rd
Suite 204
Austin, TX 78759-3933 - Phone
- (512) 401-0002
- Fax
- (512) 401-0006
- NPI assigned
- Sep 14, 2006
- 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 | 02797 | TX | Primary |
Addresses
Primary practice location
11673 Jollyville Rd
Suite 204
Austin, TX 78759-3933
Mailing address
11673 Jollyville Rd
Suite 204
Austin, TX 78759-3933
Phone (512) 401-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00S69Y | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02797 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487759189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11673 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593933",
"telephone_number": "512-401-0002",
"fax_number": "512-401-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11673 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593933",
"telephone_number": "512-401-0002",
"fax_number": "512-401-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCAMILLA",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "02797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00S69Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.