1. Home
  2. Directory
  3. Texas
  4. Athens
  5. Social Worker
  6. NPI Profile

MRS. KRISTIN MARIE MYCKE LCSW
NPI 1376699215
Social Worker - Clinical in Athens, TX

Active since January 25, 2007
12990 COUNTY ROAD 3819, ATHENS, TX 75752(469) 261-7019 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Nov 9, 2017 (2 updates tracked since 2017).

About Mrs. Kristin Marie Mycke Lcsw NPPES

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

MRS. KRISTIN MARIE MYCKE LCSW (NPI 1376699215) is an individual clinical provider in Athens, Texas, licensed in Texas (40023) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376699215
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTIN MARIE MYCKECredential: LCSW
Location Address12990 COUNTY ROAD 3819Athens, TX 75752-6621
Mailing Address12990 County Road 3819Athens, TX 75752-6621 · (469) 261-7019
Phone(469) 261-7019
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1376699215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 40023
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License S40023 (TX)
12990 COUNTY ROAD 3819, Athens, TX 75752
Open in Google Maps ↗

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 Kristin Mycke's NPI number?

The NPI number for Kristin Mycke is 1376699215. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Kristin Mycke located?

Kristin Mycke practices at 12990 County Road 3819, Athens, TX 75752. The listed phone number is (469) 261-7019.

What is Kristin Mycke'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 Kristin Mycke was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.