JACK HOUSWORTH (NPI# 1225319379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225319379 |
| Entity Type | Individual |
| Full Name | JACK HOUSWORTH |
| Other Name | JACK LEWIS HOUSWORTH |
| Credential | LCSW, LCDC |
| Practice Address |
403 E 15th St Austin TX 78701-1437 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11262 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60367 | TX | Behavioral Health & Social Service Providers |
| Street Address |
403 E 15TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619138468 | Long H Nguyen | Psychiatry & Neurology | 403 E 15th St, Austin, TX 78701-1437 | 2008-06-24 |
| 1295353894 | Dominick Edison | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2020-07-09 |
| 1417582891 | Kathryn Bruce Hanley | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2020-03-06 |
| 1265071468 | Patrick Robert Nolan | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2020-01-06 |
| 1831742543 | Laquisha Harris | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2019-07-22 |
| 1558922435 | Maria Cruz Vargas | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2019-06-22 |
| 1851854921 | Tenzin Chime | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2019-04-07 |
| 1417411901 | Maribel Mangubat | Registered Nurse | 403 E 15th St, Austin, TX 78701 | 2019-01-29 |
| 1184193849 | Mary Murray Smith | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2018-11-24 |
| 1821567447 | Patricia Marie Fletcher | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.