Individual provider Active NPI

Marilyn Gabrielle Ramirez, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1639937121
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107202 Issued in TX
Practice address
4201 Creede Dr
Austin, TX 78744-1784
Phone
(512) 573-8735
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 107202 TX Primary

Addresses

Primary practice location

4201 Creede Dr
Austin, TX 78744-1784

Mailing address

4201 Creede Dr
Austin, TX 78744-1784

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
I20241111002758 TX Practitioner - Clinical Social Worker 7618401811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107202TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Action CurrentSince Jul 26, 2024 Accepting new patients

Locations

2800 S Interstate 35
Ste 103
Austin, TX 78704
Phone (512) 826-0773

101 W Koenig Ln
Unit 300
Austin, TX 78751
Phone (512) 565-7750

2800 S Interstate 35
Ste 215
Austin, TX 78704
Phone (512) 330-9444

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.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639937121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CREEDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CREEDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441784",
            "telephone_number": "512-573-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MARILYN",
        "middle_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.