Andrea Ciceri, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58294 Issued in TX

Practice address

810 W 45TH St
Austin, TX 78751-2802

Phone

(512) 451-2242

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Austin Child Guidance Center

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1912054776
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1861842015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512802",
            "telephone_number": "512-451-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Tina Ct",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787586758",
            "country_code": "US",
            "telephone_number": "512-957-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICERI",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Y. Chyu, MD
• Grace Kucera Ciamaricone, DPT
• Dominique Jean Cianfichi
• Carrie Ciaverelli, PT
• Michael Allen Ciaverelli, DDS
• Michael J Cieminski
• Rachael Kathleen Cilek, M.ED., BCBA
• Isabella Demetria Cimbala, LMSW
• Marilyn Grace Macey Ciment, SLP
• Robert D Cinclair, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.