Individual provider Active NPI

Christi Leeanne Goll, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1922812668
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108918 Issued in TX
Practice address
4911 Menchaca Rd Apt 355
Austin, TX 78745-1675
Phone
(520) 668-3065
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 108918 TX Primary

Addresses

Primary practice location

4911 Menchaca Rd Apt 355
Austin, TX 78745-1675

Mailing address

4911 Menchaca Rd Apt 355
Austin, TX 78745-1675
Phone (520) 668-3065

Other practice location 1

2416 S LaMar Blvd
Austin, TX 78704-4709
Phone (520) 668-3065

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

LicenseStateTypeSpecialty
108918TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1922812668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 MENCHACA RD APT 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451675",
            "telephone_number": "520-668-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 MENCHACA RD APT 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451675",
            "telephone_number": "520-668-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 S LaMar Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787044709",
            "country_code": "US",
            "telephone_number": "520-668-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLL",
        "first_name": "CHRISTI",
        "middle_name": "LEEANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108918",
            "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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.