Individual provider Active NPI

Austa Murray, MS

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1932750775
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010100 Issued in IL
Practice address
1911 S Indiana Ave
Chicago, IL 60616-1310
Phone
(773) 454-5797
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 149.010100 IL Primary

Addresses

Primary practice location

1911 S Indiana Ave
Chicago, IL 60616-1310

Mailing address

1911 S Indiana Ave
Chicago, IL 60616-1310
Phone (773) 454-5797

Other practice location 1

4518 N Kedzie Ave Apt 4D
Chicago, IL 60625-8341
Phone (773) 454-5797

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
149.010100ILMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: austa.murray.1@11074.direct.athenahealth.com
  • Direct secure messaging: austa.murray.2@11074.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1932750775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161310",
            "telephone_number": "773-454-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161310",
            "telephone_number": "773-454-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4518 N Kedzie Ave Apt 4D",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606258341",
            "country_code": "US",
            "telephone_number": "773-454-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "AUSTA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.