Individual provider Active NPI

Terisa Ann Marini, MSW, LCSW, CPRP

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1851697692
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68190 Issued in TX
Practice address
2200 Granberry Dr Unit a
Austin, TX 78745-5269
Phone
(512) 516-2342
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 68190 TX Primary

Addresses

Primary practice location

2200 Granberry Dr Unit a
Austin, TX 78745-5269

Mailing address

2200 Granberry Dr Unit a
Austin, TX 78745-5269
Phone (512) 516-2342

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
I20110629000060 TX Practitioner - Clinical Social Worker 1355529066 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Granberry Dr
Unit a
Austin, TX 78745-5269

6301 Menchaca Rd
Suite a
Austin, TX 78745-4948
Phone (512) 516-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Support of Texas, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1851697692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANBERRY DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455269",
            "telephone_number": "512-516-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANBERRY DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455269",
            "telephone_number": "512-516-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "TERISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.