Itzayana Tanya Prado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64281 Issued in TX

Practice address

6002 Jain LN
Austin, TX 78721-3104

Phone

(512) 672-8381

Fax

(512) 462-2028

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Key

  • Case Management Agency
  • Austin, TX
  • NPI 1225548506
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1992446694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 JAIN LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787213104",
            "telephone_number": "512-672-8381",
            "fax_number": "512-462-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 JAIN LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787213104",
            "telephone_number": "512-672-8381",
            "fax_number": "512-462-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "ITZAYANA",
        "middle_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hope Pracht, FNP-C
• Kim Praderas, PH.D.
• Arjina Pradhan, ACNP
• Supriya Pradhan, PT
• Hillary Prado
• Juan Prado, LCSW
• Venus Prado, LPC
• Lori Prager, RPH
• Meghana Prakash, DO
• Rajeev Prakash, MD

• 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 Apr 7, 2022; 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.