Individual provider Active NPI

Caroline Hedenberg

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1265930382
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53189 Issued in TX
Practice address
5419 S Congress Ave Ste 100
Austin, TX 78745-3103
Phone
(954) 903-7656
Fax
(954) 206-0555
NPI assigned
Jan 23, 2018
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 53189 TX Primary

Addresses

Primary practice location

5419 S Congress Ave Ste 100
Austin, TX 78745-3103

Mailing address

5419 S Congress Ave Ste 100
Austin, TX 78745-3103
Phone (954) 903-7656

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
I20191209002690 TX Practitioner - Clinical Social Worker 3274966056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Sep 27, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Sep 27, 2025 Accepting new patients

Locations

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

Organizations & group practices 2

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1265930382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 S CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453103",
            "telephone_number": "954-903-7656",
            "fax_number": "954-206-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 S CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453103",
            "telephone_number": "954-903-7656",
            "fax_number": "954-206-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDENBERG",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.