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BODHI LEAF, PLLC
NPI 1053779207
Social Worker - Clinical in Austin, TX

Active since February 03, 2016
1300 WEST LYNN DRIVE, SUITE 207, AUSTIN, TX 78703(512) 653-4623 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bodhi Leaf, Pllc NPPES

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

BODHI LEAF, PLLC (NPI 1053779207) is a healthcare organization registered as a clinical in Austin, Texas and active in the NPI registry since February 2016. The organization lists Sashi Gabrielle Kimball, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1053779207
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBODHI LEAF, PLLC
Location Address1300 WEST LYNN DRIVE, SUITE 207Austin, TX 78703
Mailing Address204 E 34th St, Apt BAustin, TX 78705-1665 · (512) 653-4623
Phone(512) 653-4623
Organization SubpartNo
Authorized OfficialSashi Gabrielle KimballSole Member · (512) 653-4623
Enumeration DateFebruary 3, 2016
✔ NPI 1053779207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 57473
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1300 WEST LYNN DRIVE, Austin, TX 78703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bodhi Leaf, PLLC's NPI number?

The NPI number for Bodhi Leaf, PLLC is 1053779207. It was assigned to this organization in the NPPES registry on February 3, 2016.

Where is Bodhi Leaf, PLLC located?

Bodhi Leaf, PLLC is located at 1300 West Lynn Drive Suite 207, Austin, TX 78703. The listed phone number is (512) 653-4623.

What is Bodhi Leaf, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bodhi Leaf, PLLC was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.