Active NPI
Lisa Clare Judge, PHD LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1952336976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27468
- Practice address
- Box 503
1011 W 31St St
Austin, TX 78705 - Phone
- (512) 467-0655
- Fax
- (512) 458-4569
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27468 | TX | Primary |
Addresses
Primary practice location
Box 503
1011 W 31St St
Austin, TX 78705
Mailing address
Box 503
1011 W 31St St
Austin, TX 78705
Phone (512) 467-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27468 | Other | TX | LICENSE LCSW |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816000511 | TX | Practitioner - Clinical Social Worker | 0941230353 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3724 Jefferson St
Suite 200
Austin, TX 78731-6221
Phone (512) 467-0655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27468 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952336976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 503",
"address_2": "1011 W 31ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-467-0655",
"fax_number": "512-458-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOX 503",
"address_2": "1011 W 31ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-467-0655",
"fax_number": "512-458-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "LISA",
"middle_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PHD LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "27468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE LCSW",
"identifier": "27468",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.