Mia Roldan Austin Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIA ROLDAN AUSTIN THERAPY PLLC

Practice address

4101 Medical Pkwy Ste 109
Austin, TX 78756-3724

Phone

(512) 413-0239

NPI assigned

Feb 8, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna-Marie Christina Roldan, LCSW, LCDCNPI 1790130318

Title

Owner

Phone

(512) 413-0239

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna-Marie Roldan, LCSW, LCDC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1790130318
  Authorized official Same address or phone

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1982169496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787573130",
            "telephone_number": "512-413-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL PKWY STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563724",
            "telephone_number": "512-413-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA ROLDAN AUSTIN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ROLDAN",
        "authorized_official_first_name": "ANNA-MARIE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-413-0239",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Y Mhawech Fauceglia, MD
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• Mi Casa Speech and Language Therapy
• Mi Familia Medical PLLC
• Mi2 Ventures, LLC (FirstLight HomeCare of Austin)
• Nosheen Amir Mian, M.D.
• Tahir Shabbir Mian, M.D.
• Lisa Marie Mican, PHARM.D.
• Michael Allen Ciaverelli, DDS, P.a. (Brodie Oaks Dental)
• Michael B. Doughty

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.