CHRISTINA BRUNI FONDREN LCSW
NPI 1609404029
Social Worker in Austin, TX

Q: What is Christina Fondren's NPI number?

The NPI number for Christina Fondren is 1609404029. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Christina Fondren's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Christina Fondren enrolled in Medicare?

No. Christina Fondren has opted out of Medicare through December 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Christina Fondren was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2020Opted out of Medicare · through Dec 19, 2027

8133 MESA DR STE 104, AUSTIN, TX 78759(512) 991-2550 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Oct 7, 2022, Mar 31, 2020 (3 updates tracked since 2020).

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About Christina Bruni Fondren Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINA BRUNI FONDREN LCSW (NPI 1609404029) is an individual social worker in Austin, Texas, licensed in Texas (67920) and active in the NPI registry since March 2020. She has opted out of Medicare through December 19, 2027.

NPPES Registry Identity

NPI1609404029

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameCHRISTINA BRUNI FONDRENCredential: LCSW

Location Address8133 MESA DR STE 104Austin, TX 78759-8655

Mailing Address8133 Mesa Dr Ste 104Austin, TX 78759-8655

Phone(512) 991-2550

Sole ProprietorNo

Enumeration DateMarch 31, 2020

Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1609404029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in TX · 67920

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

8133 MESA DR STE 104, Austin, TX 78759

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Christina Bruni Fondren Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2023 through December 19, 2027.

Opt-Out Effective DateDecember 19, 2023

Opt-Out In Effect ThroughDecember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOE SCURLETIS LMSW

Social Worker