Individual provider Active NPI

Brittany Tyrrell, LMSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1891345880
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104684 Issued in TX
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

Updated by the provider on May 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
225972MAMDSocial Worker
104684TXMDSpeech-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.

Verify at the official NPI Registry.