Active NPI
LF LCSW LLC
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1760145684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LF LCSW LLC
- Practice address
- 9304 Evening Primrose Path
Austin, TX 78750-3629 - Phone
- (512) 632-8633
- NPI assigned
- Oct 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Faulhaber, LCSW
- Title
- President
- Phone
- (512) 632-8633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
9304 Evening Primrose Path
Austin, TX 78750-3629
Mailing address
9304 Evening Primrose Path
Austin, TX 78750-3629
Phone (512) 632-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Austin, TX
- NPI 1760740583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1760145684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9304 EVENING PRIMROSE PATH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503629",
"telephone_number": "512-632-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9304 EVENING PRIMROSE PATH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503629",
"telephone_number": "512-632-8633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LF LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "FAULHABER",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-632-8633",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.