Active NPI
Rebecca Athanason, LCSW
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1952756744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56552
- Practice address
- 3000 Joe Dimaggio Blvd Ste 66
Round Rock, TX 78665-3997 - Phone
- (512) 246-7225
- NPI assigned
- Apr 28, 2016
- 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 | 56552 | TX | Primary |
Addresses
Primary practice location
3000 Joe Dimaggio Blvd Ste 66
Round Rock, TX 78665-3997
Mailing address
3000 Joe Dimaggio Blvd Ste 66
Round Rock, TX 78665-3997
Phone (512) 246-7225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1952756744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 66",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653997",
"telephone_number": "512-246-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 66",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653997",
"telephone_number": "512-246-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHANASON",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.