Active NPI
Earle
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EARLE
- Doing business as
- C. JASON EARLE, LCSW
- Practice address
- 4100 Avenue D
Austin, TX 78751 - Phone
- (855) 553-2783
- Fax
- (855) 553-2783
- NPI assigned
- Nov 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Jason Earle, LCSW
- Title
- Director
- Phone
- (855) 553-2783
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
4100 Avenue D
Austin, TX 78751
Mailing address
1101 W 34TH St Ste 256
Austin, TX 78705-1907
Phone (855) 553-2753
Other names 1
- C. JASON EARLE, LCSW
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7703 N Lamar Blvd
Ste 225
Austin, TX 78752
Phone (855) 527-8728
6901 N Lamar Blvd
Ste 124
Austin, TX 78752
Phone (855) 527-8728
6901 N Lamar Blvd
Austin, TX 78752
Phone (512) 939-5396
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Austin, TX
- NPI 1295173672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1518330554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W 34TH ST STE 256",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051907",
"telephone_number": "855-553-2753",
"fax_number": "855-553-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 AVENUE D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78751",
"telephone_number": "855-553-2783",
"fax_number": "855-553-2783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLE",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-12",
"last_updated": "2025-01-22",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "EARLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "855-553-2783",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C. JASON EARLE, LCSW",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "C. JASON EARLE, LCSW",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.