Active NPI
Michael Ray Greenwood, MSSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1548312101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00335
- Practice address
- 1717 W 6TH St
#234
Austin, TX 78703-4773 - Phone
- (512) 791-1127
- Fax
- (512) 258-1166
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- 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 | 00335 | TX | Primary |
Addresses
Primary practice location
1717 W 6TH St
#234
Austin, TX 78703-4773
Mailing address
13121 Humphrey Dr
Austin, TX 78729-7424
Phone (512) 250-8500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00335 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548312101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 HUMPHREY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787297424",
"telephone_number": "512-250-8500",
"fax_number": "512-258-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W 6TH ST",
"address_2": "#234",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034773",
"telephone_number": "512-791-1127",
"fax_number": "512-258-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "MICHAEL",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "00335",
"primary": true
}
],
"identifiers": [],
"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.