KINO PARK
NPI 1083474530
Social Worker - Clinical in Austin, TX

Active since March 21, 2024
802 LYDIA ST, AUSTIN, TX 78702(512) 380-1684 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kino Park NPPES

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

KINO PARK (NPI 1083474530) is an individual clinical provider in Austin, Texas, licensed in Texas (107952) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1083474530
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKINO PARK
Location Address802 LYDIA STAustin, TX 78702-2623
Mailing Address802 Lydia StAustin, TX 78702-2623
Sole ProprietorNo
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1083474530 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 · 107952
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.
802 LYDIA ST, Austin, TX 78702

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
802 LYDIA ST
AUSTIN, TX 78702
Social Worker
802 LYDIA ST
AUSTIN, TX 78702
Massage Therapist
802 LYDIA ST
AUSTIN, TX 78702
Counselor (Mental Health)
802 LYDIA ST
AUSTIN, TX 78702
Social Worker
802 LYDIA ST
AUSTIN, TX 78702
Social Worker
802 LYDIA ST
AUSTIN, TX 78702
Counselor (Mental Health)
802 LYDIA ST
AUSTIN, TX 78702
Marriage & Family Therapist
802 LYDIA ST
AUSTIN, TX 78702

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 Kino Park's NPI number?

The NPI number for Kino Park is 1083474530. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Kino Park located?

Kino Park practices at 802 Lydia St, Austin, TX 78702. The listed phone number is (512) 380-1684.

What is Kino Park'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 Kino Park was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.