Active NPI
Chasity Jane Shugart, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1679804397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36191
- Practice address
- 1400 Nih 35 LL Ste.400
Paul Bass Clinic
Austin, TX 78701 - Phone
- (512) 324-7000
- Fax
- (512) 324-8071
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 36191 | TX | Primary |
Addresses
Primary practice location
1400 Nih 35 LL Ste.400
Paul Bass Clinic
Austin, TX 78701
Mailing address
1400 Nih 35 LL Ste.400
Paul Bass Clinic
Austin, TX 78701
Phone (512) 324-7000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36191 | TX | MD | Pediatric Neurodevelopmental Disabilities Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1679804397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NIH 35 LL STE.400",
"address_2": "PAUL BASS CLINIC",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "512-324-7000",
"fax_number": "512-324-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NIH 35 LL STE.400",
"address_2": "PAUL BASS CLINIC",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "512-324-7000",
"fax_number": "512-324-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUGART",
"first_name": "CHASITY",
"middle_name": "JANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.