Individual provider Active NPI

Carolyn Elizabeth Moreau, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1871315499
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15327 Issued in TX
Practice address
8700 Menchaca Rd Ste 704
Austin, TX 78748-5378
Phone
(737) 297-9110
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 15327 TX Primary

Addresses

Primary practice location

8700 Menchaca Rd Ste 704
Austin, TX 78748-5378

Mailing address

1908 Newning Ave
Austin, TX 78704-4338
Phone (737) 297-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15327TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Counseling PLLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

8700 Menchaca Rd
Ste 704
Austin, TX 78748
Phone (737) 291-9110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1871315499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 NEWNING AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044338",
            "telephone_number": "737-297-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MENCHACA RD STE 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485378",
            "telephone_number": "737-297-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "15327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.