Active NPI
Kamini D Verma, LCSW
- Clinical Social Worker
- Georgetown, TX
National Provider Identifier
1578019022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54790
- Practice address
- 2423 Williams Dr
Suite 108
Georgetown, TX 78628-3200 - Phone
- (877) 800-5722
- Fax
- (512) 869-8424
- NPI assigned
- Aug 25, 2016
- Last updated
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 54790 | TX | Primary |
Addresses
Primary practice location
2423 Williams Dr
Suite 108
Georgetown, TX 78628-3200
Mailing address
345 Cypress Creek Rd
Ste 102
Cedar Park, TX 78613-4484
Phone (512) 955-3074
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54790 | TX | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Austin, TX
- NPI 1801936133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1578019022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD",
"address_2": "STE 102",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134484",
"telephone_number": "512-955-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR",
"address_2": "SUITE 108",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283200",
"telephone_number": "877-800-5722",
"fax_number": "512-869-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMA",
"first_name": "KAMINI",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.