Individual provider Active NPI

Alix Warner, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1821786575
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67330 Issued in TX
Practice address
2501 W William Cannon Dr Ste a
Austin, TX 78745-5281
Phone
(512) 344-9181
Fax
(512) 344-9135
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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 67330 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr Ste a
Austin, TX 78745-5281

Mailing address

1200 Elm St Apt 214
Austin, TX 78703-4056
Phone (917) 297-5308

Other practice location 1

1200 Elm St Apt 214
Austin, TX 78703-4056
Phone (917) 297-5308

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
I20230620000306 TX Practitioner - Clinical Social Worker 3375901697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vonzee Interests LLCGroup PAC ID 1355600768, 5 clinicians

Practice addresses (Care Compare)

2501 W William Cannon Dr
BLDG 6 Suite a
Austin, TX 78745-5282
Phone (512) 944-9135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67330TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vonzee Interests LLC CurrentSince May 1, 2023 Accepting new patients
Michelle Zee Enterprises LLC Clinical PastSince May 1, 2023 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 6A
Austin, TX 78745
Phone (512) 344-9181

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1821786575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ELM ST APT 214",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034056",
            "telephone_number": "917-297-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-344-9181",
            "fax_number": "512-344-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Elm St Apt 214",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787034056",
            "country_code": "US",
            "telephone_number": "917-297-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ALIX",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.