Active NPI
Stacy Kim Nakell, L.C.S.W
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1730219965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36726
- Practice address
- 1211 Baylor St
Ste. 200
Austin, TX 78703-4104 - Phone
- (512) 586-6862
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 36726 | TX | Primary |
Addresses
Primary practice location
1211 Baylor St
Ste. 200
Austin, TX 78703-4104
Mailing address
1211 Baylor St
Ste. 200
Austin, TX 78703-4104
Phone (512) 586-6862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87670Q | Other | TX | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36726 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1730219965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 BAYLOR ST",
"address_2": "STE. 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034104",
"telephone_number": "512-586-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 BAYLOR ST",
"address_2": "STE. 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034104",
"telephone_number": "512-586-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKELL",
"first_name": "STACY",
"middle_name": "KIM",
"name_prefix": "Ms.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87670Q",
"state": "TX"
}
],
"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 Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.