Individual provider Active NPI

Simona Riemer, LMSW

  • Social Worker
  • Austin, TX
National Provider Identifier
1710245253
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
55464 Issued in TX
Practice address
1509 W North Loop Blvd
Austin, TX 78756-2004
Phone
(512) 524-5482
Fax
(512) 524-1177
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 55464 TX Primary

Addresses

Primary practice location

1509 W North Loop Blvd
Austin, TX 78756-2004

Mailing address

1509 W North Loop Blvd
Austin, TX 78756-2004
Phone (512) 524-5482

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55464TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Social and Recreation Services, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1710245253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562004",
            "telephone_number": "512-524-5482",
            "fax_number": "512-524-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562004",
            "telephone_number": "512-524-5482",
            "fax_number": "512-524-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "SIMONA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "55464",
            "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 May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.