Individual provider Active NPI

Curtis Glen Laurence, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1669663118
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35924 Issued in TX
Practice address
1106 Clayton LN
Ste. 445E
Austin, TX 78723-1066
Phone
(512) 323-6994
Fax
(512) 323-9490
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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 35924 TX Primary

Addresses

Primary practice location

1106 Clayton LN
Ste. 445E
Austin, TX 78723-1066

Mailing address

4412 Spicewood Springs Rd 701
Austin, TX 78759-8567
Phone (512) 323-6994

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
I20090828000124 TX Practitioner - Clinical Social Worker 8628123528 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35924TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Apr 7, 2025 Accepting new patients
Renu Mental Wellness Group Clinical CurrentSince Jan 1, 2023 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Apr 7, 2025 Accepting new patients
Dr. Tania Glenn & Associates, P.a. Clinical Past Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

Organizations & group practices 4

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1669663118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 SPICEWOOD SPRINGS RD 701",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598567",
            "telephone_number": "512-323-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN",
            "address_2": "STE. 445E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231066",
            "telephone_number": "512-323-6994",
            "fax_number": "512-323-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCE",
        "first_name": "CURTIS",
        "middle_name": "GLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.