Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Earl Everett III, LCSW

Individual provider Clinical Social Worker · NPI 1386242386

Charles Earl Everett III, LCSW is a Clinical Social Worker in Austin, Texas. Qualified in 1990, 36 years ago. Practices with Deep Eddy Psychotherapy Management, LLC, a 77-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2501 W William Cannon Dr
Austin, TX 78745-5281
Phone: (512) 344-9189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 62189 (TX)

Record details

NPI number1386242386
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address9009 Great Hills Trl Apt 2021, Austin, TX 78759-7145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Deep Eddy Psychotherapy Management, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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