Individual provider Active NPI

Kristin Laurel Coldsnow, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1841839198
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63366 Issued in TX
Practice address
1717 W 10TH St
Austin, TX 78703-3907
Phone
(512) 915-7690
NPI assigned
Jan 4, 2020
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 63366 TX Primary

Addresses

Primary practice location

1717 W 10TH St
Austin, TX 78703-3907

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Other names 1

  • Kristin Laurel Hood Former name

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
I20200501001257 TX Practitioner - Clinical Social Worker 3779913967 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 Jan 21, 2020 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Clinical CurrentSince Jan 21, 2020 Accepting new patients

Locations

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

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

2410 E Riverside Dr
Ste G3
Austin, TX 78741
Phone (512) 804-3000

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": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1841839198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 10TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033907",
            "telephone_number": "512-915-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDSNOW",
        "first_name": "KRISTIN",
        "middle_name": "LAUREL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HOOD",
            "middle_name": "LAUREL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.