MEDICARE: KELSEY MAYES

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
1	1041C0700X	Clinical Social Worker	111610	TX

General Provider Information

NPI Number	:	1538779186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MAYES

Provider Business Mailing Address
First Line	:	3801 N CAPITAL OF TEXAS HWY STE E2403357
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-1416
Country	:	US
Telephone Number	:	512-981-7098
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 N CAPITAL OF TEXAS HWY STE E2403357
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-1416
Country	:	US
Telephone Number	:	512-981-7098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	11/22/2025

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Directions to “ KELSEY MAYES ” Practice Location

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