Active NPI
Sarah Alexis Laurielle Shaney, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1891350583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59680
- Practice address
- 825 W 11TH St Ste C
Austin, TX 78701-2052 - Phone
- (210) 960-5129
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59680 | TX | Primary |
Addresses
Primary practice location
825 W 11TH St Ste C
Austin, TX 78701-2052
Mailing address
2217 Jasmine Path
Round Rock, TX 78664-7148
Phone (512) 300-6645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59680 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES LICENSING BOARD |
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 |
|---|---|---|---|
| 59680 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1891350583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 JASMINE PATH",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647148",
"telephone_number": "512-300-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W 11TH ST STE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012052",
"telephone_number": "210-960-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANEY",
"first_name": "SARAH",
"middle_name": "ALEXIS LAURIELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES LICENSING BOARD",
"identifier": "59680",
"state": "TX"
}
],
"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 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.