| Jewish Family Service Of Austin | |
|
11940 Jollyville Road Ste 110s Austin TX 78759-2327 | |
| (512) 250-1043 | |
| (512) 257-7179 |
| Full Name | Jewish Family Service Of Austin |
|---|---|
| Speciality | Social Worker |
| Location | 11940 Jollyville Road, Austin, Texas |
| Authorized Official Name and Position | Emilie A Howitt (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5127358124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service Of Austin 11940 Jollyville Road Ste 110s Austin TX 78759-2327 Ph: (512) 250-1043 | Jewish Family Service Of Austin 11940 Jollyville Road Ste 110s Austin TX 78759-2327 Ph: (512) 250-1043 |
| NPI Number | 1114466364 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 0749361921 |
|---|---|
| Medicare Enrollment ID | O20091009000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114466364 | NPI | - | NPPES |
| Provider Name | Shelly A Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043586860 PECOS PAC ID: 4486819687 Enrollment ID: I20120712000562 |
| Provider Name | Amanda Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437778818 PECOS PAC ID: 8325426588 Enrollment ID: I20220601000642 |
| Provider Name | Maura Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326640046 PECOS PAC ID: 8325411911 Enrollment ID: I20230301002328 |
| Provider Name | Matthew P Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235819657 PECOS PAC ID: 0143672188 Enrollment ID: I20240116001760 |
| Provider Name | Emilie Howitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922440262 PECOS PAC ID: 4082034285 Enrollment ID: I20240522000775 |
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