Healthcare Provider Details

I. General information

NPI: 1780967273
Provider Name (Legal Business Name): MICHAEL SETH HUREWITZ LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 SPICEWOOD SPRINGS RD STE A5
AUSTIN TX
78759-8658
US

IV. Provider business mailing address

4131 SPICEWOOD SPRINGS RD STE A5
AUSTIN TX
78759-8658
US

V. Phone/Fax

Practice location:
  • Phone: 512-412-0767
  • Fax: 512-910-8346
Mailing address:
  • Phone: 512-412-0767
  • Fax: 512-910-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28222
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: