Provider Demographics
NPI:1114927233
Name:KAUTZ, JANET ELISE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELISE
Last Name:KAUTZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12885 RESEARCH BLVD
Mailing Address - Street 2:ARBOR SQUARE #209-A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3220
Mailing Address - Country:US
Mailing Address - Phone:512-250-1015
Mailing Address - Fax:512-250-2110
Practice Address - Street 1:12885 RESEARCH BLVD
Practice Address - Street 2:ARBOR SQUARE #209-A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-3220
Practice Address - Country:US
Practice Address - Phone:512-250-1015
Practice Address - Fax:512-250-2110
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S63EMedicare ID - Type Unspecified