Tina Marie Austin, MSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1174875785
StatusActive
Last updated in NPPESOct 5, 2012
Details
- NPI
- 1174875785
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tina Marie Austin
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2012
- Last updated
- Oct 5, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149011507 | IL | Yes |
Practice location
8153 S Champlain AveChicago, IL 60619-5003
Phone 773-418-0795
Mailing address
8153 S Champlain AveChicago, IL 60619-5003
Phone 773-418-0795
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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