Individual provider Active NPI

Tom Umberger, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1669849790
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53367 Issued in TX
Practice address
5409 Harvest LN
Austin, TX 78745-3140
Phone
(512) 767-8676
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 53367 TX Primary

Addresses

Primary practice location

5409 Harvest LN
Austin, TX 78745-3140

Mailing address

5409 Harvest LN
Austin, TX 78745-3140
Phone (512) 767-8676

Other practice location 1

1700 Rutherford Ln
Austin, TX 78754-5104
Phone (512) 483-3556

Other names 1

  • Thomas Christian Umberger Other name

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
I20151028002260 TX Practitioner - Clinical Social Worker 1658680863 Reassigns benefits to 1 organization
Practice locations: West Lake Hills, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eldercare, Inc.Group PAC ID 6709072580, 4 clinicians

Practice addresses (Care Compare)

1700 Rutherford LN
Austin, TX 78754-5104

3536 Bee Caves Rd
Suite 100
West Lake Hills, TX 78746-5474
Phone (512) 666-7957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53367TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calmer Waters Counseling, PLLC Clinical CurrentSince Jul 1, 2026 Accepting new patients
Family Eldercare, Inc. Clinical CurrentSince Oct 19, 2015 Accepting new patients

Locations

1700 Rutherford Ln
Austin, TX 78754
Phone (512) 450-0844

3536 Bee Caves Rd
Ste 100
West Lake Hills, TX 78746
Phone (512) 327-5040

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1669849790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 HARVEST LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453140",
            "telephone_number": "512-767-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 HARVEST LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453140",
            "telephone_number": "512-767-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Rutherford Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787545104",
            "country_code": "US",
            "telephone_number": "512-483-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMBERGER",
        "first_name": "TOM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "UMBERGER",
            "middle_name": "CHRISTIAN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.