Individual provider Active NPI

Edith Natal Ausburn, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1538266341
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05012 Issued in TX
Practice address
3414 River Path St
San Antonio, TX 78230-2526
Phone
(210) 520-6361
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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 05012 TX Primary

Addresses

Primary practice location

3414 River Path St
San Antonio, TX 78230-2526

Mailing address

3414 River Path St
San Antonio, TX 78230-2526
Phone (210) 520-6361

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
I20070620000200 TX Practitioner - Clinical Social Worker 9133228968 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3414 River Path
San Antonio, TX 78230-2526

3414 River Path St
San Antonio, TX 78230-2526
Phone (210) 269-5838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05012TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Elder Care, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1538266341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 RIVER PATH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302526",
            "telephone_number": "210-520-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 RIVER PATH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302526",
            "telephone_number": "210-520-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSBURN",
        "first_name": "EDITH",
        "middle_name": "NATAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "05012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.