DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MATTHEW DAVID JERNIGAN LCSW

MEDICARE: MATTHEW DAVID JERNIGAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker105457TX

General Provider Information

NPI Number : 1457110777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW DAVID JERNIGAN LCSW
Provider Business Mailing Address
First Line : PO BOX 301183
Second Line :
City : AUSTIN
State : TX
Zip : 78703-0020
Country : US
Telephone Number : 910-818-1397
Fax Number :
Provider Business Practice Location Address
First Line : 505 E HUNTLAND DR STE 320
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3741
Country : US
Telephone Number : 512-201-4501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/12/2025

Similar Medicare Providers

1922937952 — ALEXANDER ABIJAOUDI
Practice Location Address:
505 E HUNTLAND DR STE 320A
AUSTIN, TX
78752-3741
Practice Phone: 737-257-0829
Practice Fax:
1538881206 — TRYNA JACKSON
Practice Location Address:
505 E HUNTLAND DR STE 320
AUSTIN, TX
78752-3741
Practice Phone: 512-201-4501
Practice Fax:
1487353744 — BRAYDEN PRESTON
Practice Location Address:
505 E HUNTLAND DR STE 320
AUSTIN, TX
78752-3741
Practice Phone: 512-201-4501
Practice Fax:
1033805429 — JASON A PEARCE LPC
Practice Location Address:
505 E HUNTLAND DR STE 320
AUSTIN, TX
78752-3741
Practice Phone: 512-201-4501
Practice Fax:
1386435774 — KIMBERLY LACORTE LPC, ATR
Practice Location Address:
505 E HUNTLAND DR STE 320
AUSTIN, TX
78752-3741
Practice Phone: 856-217-9028
Practice Fax:
1205627767 — LISA-MARIE MAC LEAN LMFT-A
Practice Location Address:
505 E HUNTLAND DR STE 320
AUSTIN, TX
78752-3741
Practice Phone: 512-201-4501
Practice Fax:

Directions to “ MATTHEW DAVID JERNIGAN LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.