Active NPI
Catherine Austin, LCSW-C
- Clinical Social Worker
- Glen Burnie, MD
National Provider Identifier
1619328580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19394
- Practice address
- 1412 Crain Hwy N
Suite 1B
Glen Burnie, MD 21061-9306 - Phone
- (410) 766-6624
- Fax
- (410) 766-0240
- NPI assigned
- Jun 22, 2016
- 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 | 19394 | MD | Primary |
Addresses
Primary practice location
1412 Crain Hwy N
Suite 1B
Glen Burnie, MD 21061-9306
Mailing address
1412 Crain Hwy N
Suite 1B
Glen Burnie, MD 21061-9306
Phone (410) 766-6624
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 |
|---|---|---|---|
| 19394 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1619328580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 CRAIN HWY N",
"address_2": "SUITE 1B",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619306",
"telephone_number": "410-766-6624",
"fax_number": "410-766-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 CRAIN HWY N",
"address_2": "SUITE 1B",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619306",
"telephone_number": "410-766-6624",
"fax_number": "410-766-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "CATHERINE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.