Active NPI
Joy Stephanie Roswell, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1578631883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S06450
- Practice address
- 3724 Jefferson St Ste 206
Austin, TX 78731-6221 - Phone
- (512) 786-8639
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 | S06450 | TX | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 206
Austin, TX 78731-6221
Mailing address
3724 Jefferson St Ste 206
Austin, TX 78731-6221
Phone (512) 786-8639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00S01L | Other | TX | BLUE CROSS BLUE SHIELD |
| 063935301 | Medicaid | TX |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S06450 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1578631883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316221",
"telephone_number": "512-786-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316221",
"telephone_number": "512-786-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSWELL",
"first_name": "JOY",
"middle_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S06450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00S01L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063935301",
"state": "TX"
}
],
"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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.