Individual provider Active NPI

Jennifer Marlie Herz, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1629890637
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108693 Issued in TX
Practice address
1706 Nueces St
Austin, TX 78701-1108
Phone
(512) 956-7263
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 119677 NY
Clinical Social Worker 1041C0700X 108693 TX Primary

Addresses

Primary practice location

1706 Nueces St
Austin, TX 78701-1108

Mailing address

1706 Nueces St
Austin, TX 78701-1108
Phone (512) 956-7263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119677NYMDSocial Worker
108693TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1629890637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NUECES ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011108",
            "telephone_number": "512-956-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 NUECES ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011108",
            "telephone_number": "512-956-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZ",
        "first_name": "JENNIFER",
        "middle_name": "MARLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "119677",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.