Individual provider Active NPI

Michele Marie Pierson, MA, MSW, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1841468667
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54759 Issued in TX
Practice address
2410 E Riverside Dr Ste G3
Austin, TX 78741-3053
Phone
(512) 472-4357
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Clinical Social Worker 1041C0700X 54759 TX Primary

Addresses

Primary practice location

2410 E Riverside Dr Ste G3
Austin, TX 78741-3053

Mailing address

8524 Alophia Dr
Austin, TX 78739-2105
Phone (857) 225-1212

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
I20161116001006 TX Practitioner - Clinical Social Worker 6901185941 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince Dec 1, 2020 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Sep 15, 2016 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Dec 1, 2020 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Sep 15, 2016 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

2410 E Riverside Dr
Ste G3
Austin, TX 78741
Phone (512) 804-3000

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Organizations & group practices 4

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1841468667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 ALOPHIA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392105",
            "telephone_number": "857-225-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR STE G3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413053",
            "telephone_number": "512-472-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.