Active NPI
Mittie Knox
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1972375525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36731
- Practice address
- 4800 Manor Rd
Austin, TX 78723-5522 - Phone
- (512) 380-1636
- NPI assigned
- Oct 26, 2023
- 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 | 36731 | TX | Primary |
Addresses
Primary practice location
4800 Manor Rd
Austin, TX 78723-5522
Mailing address
9901 Brodie LN
Suite 160 Pmb793
Austin, TX 78748
Phone (512) 380-1636
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 |
|---|---|---|---|
| 36731 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1972375525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 BRODIE LN",
"address_2": "SUITE 160 PMB793",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78748",
"telephone_number": "512-380-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MANOR RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787235522",
"telephone_number": "512-380-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "MITTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36731",
"primary": true
}
],
"identifiers": [],
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.