Individual provider Active NPI

Casey Nicole Janes, MA LCSW-S

  • Clinical Social Worker
  • Rollingwood, TX
National Provider Identifier
1629788971
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58624 Issued in TX
Practice address
3006 Bee Caves Rd Ste D
Rollingwood, TX 78746-5588
Phone
(210) 896-6143
NPI assigned
Nov 28, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 58624 TX Primary

Addresses

Primary practice location

3006 Bee Caves Rd Ste D
Rollingwood, TX 78746-5588

Mailing address

3006 Bee Caves Rd Ste D
Rollingwood, TX 78746-5588
Phone (210) 896-6143

Other identifiers 1

IdentifierTypeStateIssuer
58624OtherTXBHEC

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
I20230328002068 TX Practitioner - Clinical Social Worker 2769856038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

1922 Dry Creek Way
Suite 108
San Antonio, TX 78259-1840
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58624TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Mar 1, 2023 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Sep 10, 2024 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

1922 Dry Creek Way
Ste 108
San Antonio, TX 78259
Phone (512) 887-3993

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1629788971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE D",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "210-896-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE D",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "210-896-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANES",
        "first_name": "CASEY",
        "middle_name": "NICOLE",
        "credential": "MA LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHEC",
            "identifier": "58624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rollingwood, TX

Sources for this page

Verify at the official NPI Registry.