Individual provider Active NPI

June Ellen Buniak, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1710095245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00829 Issued in TX
Practice address
7505 Pineleaf Place
Austin, TX 78757-1703
Phone
(512) 451-5618
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00829 TX Primary

Addresses

Primary practice location

7505 Pineleaf Place
Austin, TX 78757-1703

Mailing address

7505 Pineleaf Place
Austin, TX 78757-1703
Phone (512) 451-5618

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
I20120111000707 TX Practitioner - Clinical Social Worker 3072780212 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7505 Pineleaf PL
Austin, TX 78757-1703

7505 Pineleaf Place
Austin, TX 78757-1703
Phone (512) 451-5618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00829TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710095245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINELEAF PLACE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571703",
            "telephone_number": "512-451-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINELEAF PLACE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571703",
            "telephone_number": "512-451-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNIAK",
        "first_name": "JUNE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "00829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.