Individual provider Active NPI

Elizabeth Grant, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1558843771
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66020 Issued in TX
Practice address
1500 S Lamar Blvd Apt 3049
Austin, TX 78704-2948
Phone
(608) 279-2089
NPI assigned
Sep 4, 2018
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 66020 TX Primary

Addresses

Primary practice location

1500 S Lamar Blvd Apt 3049
Austin, TX 78704-2948

Mailing address

1500 S Lamar Blvd Apt 3049
Austin, TX 78704-2948
Phone (608) 279-2089

Other practice location 1

1430 Collier St
Austin, TX 78704-2911
Phone (512) 440-4059

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
I20181107003506 TX Practitioner - Clinical Social Worker 7012261100 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66020TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Oct 1, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Oct 1, 2018 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 7, 2021 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

2410 E Riverside Dr
Ste G3
Austin, TX 78741
Phone (512) 804-3000

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1558843771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAMAR BLVD APT 3049",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042948",
            "telephone_number": "608-279-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAMAR BLVD APT 3049",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042948",
            "telephone_number": "608-279-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Collier St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787042911",
            "country_code": "US",
            "telephone_number": "512-440-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.