Individual provider Active NPI

Katy Nicole Wilkerson, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1255293403
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68091 Issued in TX
Practice address
2510 Hartford Rd
Austin, TX 78703-2429
Phone
(325) 660-4476
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68091 TX Primary

Addresses

Primary practice location

2510 Hartford Rd
Austin, TX 78703-2429

Mailing address

2510 Hartford Rd
Austin, TX 78703-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216003135 TX Practitioner - Clinical Social Worker 3274028360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Hills Behavioral Health ServicesGroup PAC ID 9739150848, 4 clinicians

Practice addresses (Care Compare)

11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3971
Phone (512) 674-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68091TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Behavioral Health Services CurrentSince Dec 8, 2025 Accepting new patients

Locations

11211 Taylor Draper Ln
Ste 202
Austin, TX 78759
Phone (512) 343-8850

1500 Cottonwood Creek Trl
Ste 800
Cedar Park, TX 78613
Phone (512) 259-4259

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1255293403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 HARTFORD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 HARTFORD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032429",
            "telephone_number": "325-660-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "KATY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.