Active NPI
Brittany Tyrrell, LMSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1891345880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104684
- Practice address
- 9501 N Capital of Texas Hwy Ste 201
Austin, TX 78759-7250 - Phone
- (512) 578-8070
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 225972 | MA | |
| Social Worker | 104100000X | 104684 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 104684 | TX | Primary |
Addresses
Primary practice location
9501 N Capital of Texas Hwy Ste 201
Austin, TX 78759-7250
Mailing address
13201 Legendary Dr Apt 8207
Austin, TX 78727-4039
Phone (617) 771-5888
Other practice location 1
181 Union St # J
Lynn, MA 01901-1311
Phone (781) 244-1950
Other practice location 2
30 Warren St
Brighton, MA 02135-3602
Phone (617) 254-3800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 225972 | MA | MD | Social Worker |
| 104684 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1891345880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13201 LEGENDARY DR APT 8207",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787274039",
"telephone_number": "617-771-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 N CAPITAL OF TEXAS HWY STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787597250",
"telephone_number": "512-578-8070"
}
],
"practiceLocations": [
{
"address_1": "181 Union St # J",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011311",
"country_code": "US",
"telephone_number": "781-244-1950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Warren St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021353602",
"country_code": "US",
"telephone_number": "617-254-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYRRELL",
"first_name": "BRITTANY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225972",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104684",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "104684",
"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 May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.