Individual provider Active NPI

Jenny Morales Bauerlein, LCSW

  • Social Worker
  • Cedar Park, TX
National Provider Identifier
1497953145
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
39080 Issued in TX
Practice address
3016 Polar LN Ste 403
Cedar Park, TX 78613-3050
Phone
(929) 352-5433
NPI assigned
Jul 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 39080 TX Primary

Addresses

Primary practice location

3016 Polar LN Ste 403
Cedar Park, TX 78613-3050

Mailing address

3016 Polar LN Ste 403
Cedar Park, TX 78613-3050
Phone (929) 352-5433

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

State licenses

LicenseStateTypeSpecialty
39080TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1497953145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 403",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050",
            "telephone_number": "929-352-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 403",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050",
            "telephone_number": "929-352-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLEIN",
        "first_name": "JENNY",
        "middle_name": "MORALES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "39080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.