Active NPI
Maureen Anne Cantrell, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1639464068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18004
- Practice address
- 8321 Jancy Dr
Austin, TX 78750-7848 - Phone
- (512) 573-1817
- NPI assigned
- Jun 14, 2011
- 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 | 18004 | TX | Primary |
Addresses
Primary practice location
8321 Jancy Dr
Austin, TX 78750-7848
Mailing address
8321 Jancy Dr
Austin, TX 78750-7848
Phone (512) 573-1817
Other names 1
- Ms. Rena Cantrell
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 |
|---|---|---|---|
| 18004 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1639464068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8321 JANCY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787507848",
"telephone_number": "512-573-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8321 JANCY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787507848",
"telephone_number": "512-573-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "18004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENA",
"last_name": "CANTRELL",
"prefix": "MS.",
"credential": "LCSW",
"code": "5",
"type": "Other 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 Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.