Individual provider Active NPI

Juliana Helen O'Brien, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1740579986
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54862 Issued in TX
Practice address
2499 S Capital of Texas Hwy
Suite a-200
Austin, TX 78746-7762
Phone
(512) 327-0020
Fax
(512) 327-0030
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 54862 TX Primary

Addresses

Primary practice location

2499 S Capital of Texas Hwy
Suite a-200
Austin, TX 78746-7762

Mailing address

1901 Jentsch CT # a
Austin, TX 78745-3192
Phone (802) 272-7139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110608000653 TX Practitioner - Clinical Social Worker 0244417871 Reassigns benefits to 1 organization
Practice locations: Austin, TX
I20191016002007 VT Practitioner - Clinical Social Worker 0244417871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1901 Jentsch CT
Unit a
Austin, TX 78745-3192
Phone (802) 272-7139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54862TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince May 23, 2011 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

60 Maple Ln
Barton, VT 05822
Phone (802) 754-2112

148 Prouty Dr
Newport, VT 05855
Phone (802) 334-7321

49 Cedar Hill Dr
Windsor, VT 05089
Phone (802) 674-6609

Organizations & group practices 2

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1740579986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JENTSCH CT # A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453192",
            "telephone_number": "802-272-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY",
            "address_2": "SUITE A-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467762",
            "telephone_number": "512-327-0020",
            "fax_number": "512-327-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JULIANA",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.