Active NPI
Justin Givan
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62450
- Practice address
- 5015 S Ih 35
Ste. 200D
Austin, TX 78744-2713 - Phone
- (512) 804-3685
- NPI assigned
- Jul 1, 2016
- Last updated
- Sep 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 62450 | TX | |
| Clinical Social Worker | 1041C0700X | 62450 | TX | Primary |
Addresses
Primary practice location
5015 S Ih 35
Ste. 200D
Austin, TX 78744-2713
Mailing address
4603 Esper LN
Austin, TX 78725-2954
Phone (512) 318-8747
Other practice location 1
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370
Other names 1
- Justin Givan-Gonzales
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2360 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (314) 301-7071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62450 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Texas, PLLC | Clinical | Current | Accepting new patients |
Locations
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1689026627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 ESPER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787252954",
"telephone_number": "512-318-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 S IH 35",
"address_2": "STE. 200D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442713",
"telephone_number": "512-804-3685"
}
],
"practiceLocations": [
{
"address_1": "4115 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761033614",
"country_code": "US",
"telephone_number": "817-796-7370",
"fax_number": "817-764-0714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIVAN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-01",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "62450",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTIN",
"last_name": "GIVAN-GONZALES",
"code": "1",
"type": "Former 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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.