Active NPI
Heather Van Diest, MPH, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1790243194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56078
- Practice address
- 4900 Mueller Blvd
Austin, TX 78723-3079 - Phone
- (512) 324-0000
- NPI assigned
- Mar 5, 2019
- 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 | 56078 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd
Austin, TX 78723-3079
Mailing address
4900 Mueller Blvd FL 3
Austin, TX 78723-3051
Phone (617) 216-6574
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 |
|---|---|---|---|
| 56078 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1790243194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD FL 3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051",
"telephone_number": "617-216-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "512-324-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DIEST",
"first_name": "HEATHER",
"credential": "MPH, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Zachary David Van Den Berg, LPC-ASSOCIATE, ATR-P
- Roxane Van Der Lelie, MFT-A
- Christian J. Van Der Schijff, PT, DPT, LAT, ATC
- Tarina Van Der Stockt
- Catherine Van Der Westhuizen, MA, LPC, LMFT
- Leah Van Duyne
- Van Dyke Dental Associates
- Van Dyke Dental Associates
- Van Dyke Dental Associates, PA
- Van Dyke Dental Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.