Active NPI
Destinee Walden, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1629598693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95200
- Practice address
- 3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416 - Phone
- (512) 333-0572
- NPI assigned
- Jun 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119875 | TX | |
| Clinical Social Worker | 1041C0700X | 95200 | CA | Primary |
Addresses
Primary practice location
3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416
Mailing address
3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416
Phone (512) 333-0572
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95200 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1629598693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 N CAPITAL OF TEXAS HWY STE E2404114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787461416",
"telephone_number": "512-333-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 N CAPITAL OF TEXAS HWY STE E2404114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787461416",
"telephone_number": "512-333-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "DESTINEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "119875",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95200",
"primary": true
}
],
"identifiers": [],
"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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.