Individual provider Active NPI

Audrey Burnett, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1922846336
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105856 Issued in TX
Practice address
7300 Hart LN
Austin, TX 78731-2407
Phone
(512) 250-1043
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 105856 TX Primary

Addresses

Primary practice location

7300 Hart LN
Austin, TX 78731-2407

Mailing address

7300 Hart LN
Austin, TX 78731-2407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004091 TX Practitioner - Clinical Social Worker 4385170091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shalom AustinGroup PAC ID 0749361921, 5 clinicians

Practice addresses (Care Compare)

11940 Jollyville Rd
Suite 110S
Austin, TX 78759-2325
Phone (512) 250-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105856TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Association of Austin Clinical CurrentSince Sep 26, 2024 Accepting new patients
Shalom Austin Clinical CurrentSince Sep 26, 2024 Accepting new patients

Locations

7300 Hart Ln
Austin, TX 78731
Phone (512) 250-1043

11940 Jollyville Rd
Ste 110S
Austin, TX 78759
Phone (512) 250-1043

Interoperability endpoints

  • Direct secure messaging: audrey.burnett.1@33027.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1922846336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HART LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HART LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312407",
            "telephone_number": "512-250-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "AUDREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.