Individual provider Active NPI

Marissa Engel, LCSW

  • Clinical Social Worker
  • West Lake Hills, TX
National Provider Identifier
1518088293
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38704 Issued in TX
Practice address
1301 S Capital of Texas Hwy Ste C100
West Lake Hills, TX 78746-6589
Phone
(512) 293-8373
Fax
(512) 233-2648
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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 38704 TX Primary

Addresses

Primary practice location

1301 S Capital of Texas Hwy Ste C100
West Lake Hills, TX 78746-6589

Mailing address

1301 S Capital of Texas Hwy Ste C100
West Lake Hills, TX 78746-6589
Phone (512) 293-8373

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
I20090409000381 TX Practitioner - Clinical Social Worker 0244387199 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 S Capital of Texas Hwy
BLDG C 100
Austin, TX 78746-6574
Phone (512) 293-8373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38704TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1518088293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY STE C100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466589",
            "telephone_number": "512-293-8373",
            "fax_number": "512-233-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY STE C100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466589",
            "telephone_number": "512-293-8373",
            "fax_number": "512-233-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.