Individual provider Active NPI

Janet Kim Femino Tuohy, LCSW-S

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1710979786
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55830 Issued in TX
Practice address
102 W Morrow St
Suite 202
Georgetown, TX 78626-4307
Phone
(512) 368-1715
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 55830 TX Primary

Addresses

Primary practice location

102 W Morrow St
Suite 202
Georgetown, TX 78626-4307

Mailing address

PO Box 306
Georgetown, TX 78627-0306
Phone (512) 368-1715

Other names 1

  • Janet Kim-Femino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 20, 2017 through Apr 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55830TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1710979786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786270306",
            "telephone_number": "512-368-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MORROW ST",
            "address_2": "SUITE 202",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264307",
            "telephone_number": "512-368-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUOHY",
        "first_name": "JANET",
        "middle_name": "KIM FEMINO",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "KIM-FEMINO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.