Active NPI
Christina Kahlig Glaze, LCSW
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1053815019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54381
- Practice address
- 3000 Joe Dimaggio Blvd Ste 60
Round Rock, TX 78665-3996 - Phone
- (512) 686-6012
- NPI assigned
- Mar 22, 2018
- Last updated
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54381 | TX | Primary |
Addresses
Primary practice location
3000 Joe Dimaggio Blvd Ste 60
Round Rock, TX 78665-3996
Mailing address
512 W MLK Jr Blvd # 148
Austin, TX 78701-1231
Phone (512) 686-6012
Other practice location 1
824 W 10th St Ste 200
Austin, TX 78701-2040
Phone (512) 686-6012
Other names 1
- Christina Leanne Kahlig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54381 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Counseling, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Austin, TX
- NPI 1336310754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1053815019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W MLK JR BLVD # 148",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011231",
"telephone_number": "512-686-6012",
"fax_number": "512-842-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 60",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653996",
"telephone_number": "512-686-6012"
}
],
"practiceLocations": [
{
"address_1": "824 W 10th St Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787012040",
"country_code": "US",
"telephone_number": "512-686-6012",
"fax_number": "512-842-7227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLAZE",
"first_name": "CHRISTINA",
"middle_name": "KAHLIG",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "KAHLIG",
"middle_name": "LEANNE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.