Individual provider Active NPI

Michael Seth Hurewitz, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1780967273
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28222 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste A5
Austin, TX 78759-8658
Phone
(512) 412-0767
Fax
(512) 910-8346
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 28222 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste A5
Austin, TX 78759-8658

Mailing address

4131 Spicewood Springs Rd Ste A5
Austin, TX 78759-8658
Phone (512) 412-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000180 TX Practitioner - Clinical Social Worker 6002080256 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
Suite A5
Austin, TX 78759-8658
Phone (512) 412-0767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28222TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1780967273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE A5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598658",
            "telephone_number": "512-412-0767",
            "fax_number": "512-910-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE A5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598658",
            "telephone_number": "512-412-0767",
            "fax_number": "512-910-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUREWITZ",
        "first_name": "MICHAEL",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.