Active NPI
Kristina Downing, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1164985388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12661
- Practice address
- 4131 Spicewood Springs Rd Ste F1
Austin, TX 78759-8659 - Phone
- (737) 529-1929
- NPI assigned
- Apr 14, 2019
- Reactivated
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 12661 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste F1
Austin, TX 78759-8659
Mailing address
11201 Real Quiet Dr
Austin, TX 78748-2583
Phone (737) 529-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12661 | Other | TX | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 4, 2025 through Jun 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12661 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1164985388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 REAL QUIET DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787482583",
"telephone_number": "737-529-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE F1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598659",
"telephone_number": "737-529-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNING",
"first_name": "KRISTINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-14",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"deactivation_date": "2019-08-02",
"reactivation_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "12661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "12661",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.