Individual provider Active NPI

Angela Russell Viesca, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1790956431
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S21347 Issued in TX
Practice address
595 Round Rock West Dr Ste 103
Round Rock, TX 78681-5028
Phone
(512) 293-4346
NPI assigned
Mar 21, 2008
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 S21347 TX Primary

Addresses

Primary practice location

595 Round Rock West Dr Ste 103
Round Rock, TX 78681-5028

Mailing address

16401 Marthas CV
Austin, TX 78717-3023
Phone (512) 293-4346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S21347TXMDClinical Social Worker
21347TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Round Rock Manual Therapy and Pelvic Rehabilitation, PLLC PastSince Jan 14, 2024 Accepting new patients

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1790956431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 MARTHAS CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173023",
            "telephone_number": "512-293-4346",
            "fax_number": "512-293-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUND ROCK WEST DR STE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815028",
            "telephone_number": "512-293-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIESCA",
        "first_name": "ANGELA",
        "middle_name": "RUSSELL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S21347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.