Active NPI
Teri Schroeder, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1578835120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 39639
- Practice address
- 4807 Spicewood Springs Rd Ste 1140
Austin, TX 78759-8479 - Phone
- (512) 843-7665
- NPI assigned
- Jan 28, 2012
- 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 | 39639 | TX | Primary |
Addresses
Primary practice location
4807 Spicewood Springs Rd Ste 1140
Austin, TX 78759-8479
Mailing address
8127 Mesa Dr
#B206-360
Austin, TX 78759-8635
Other practice location 1
8127 Mesa Dr
#B206-360
Austin, TX 78759-8635
Phone (512) 834-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89446Q | Other | TX | BCBS |
Other names 1
- Teri Geffner
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 |
|---|---|---|---|
| 39639 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Mind, LLC | Past | Accepting new patients | |
| Just Mind | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Austin, TX
- NPI 1962828236
-
- Professional Counselor
- Austin, TX
- NPI 1962860544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1578835120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8127 MESA DR",
"address_2": "#B206-360",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SPICEWOOD SPRINGS RD STE 1140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598479",
"telephone_number": "512-843-7665"
}
],
"practiceLocations": [
{
"address_1": "8127 Mesa Dr",
"address_2": "#B206-360",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598635",
"country_code": "US",
"telephone_number": "512-834-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "TERI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-28",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "39639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89446Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERI",
"last_name": "GEFFNER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.