Active NPI
Kathy Lee Siepker, PHD, MSW, LCSW, CDP
- Clinical Social Worker
- Grapevine, TX
National Provider Identifier
1932987633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104496
- Practice address
- 1705 W Northwest Hwy Ste 175
Grapevine, TX 76051-8124 - Phone
- (314) 971-7258
- NPI assigned
- Sep 15, 2023
- 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 | 104496 | TX | Primary |
Addresses
Primary practice location
1705 W Northwest Hwy Ste 175
Grapevine, TX 76051-8124
Mailing address
1705 W Northwest Hwy Ste 175
Grapevine, TX 76051-8124
Phone (214) 613-3074
Other practice location 1
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (314) 971-7258
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3405 El Salido Pkwy
Apt 236
Cedar Park, TX 78613-5647
Phone (855) 241-7160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104496 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC TX LLC | Clinical | Current | Accepting new patients |
Locations
10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1932987633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 W NORTHWEST HWY STE 175",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518124",
"telephone_number": "214-613-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 W NORTHWEST HWY STE 175",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518124",
"telephone_number": "314-971-7258"
}
],
"practiceLocations": [
{
"address_1": "2021 Guadalupe St Ste 260",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787055654",
"country_code": "US",
"telephone_number": "314-971-7258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEPKER",
"first_name": "KATHY",
"middle_name": "LEE",
"credential": "PHD, MSW, LCSW, CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "104496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.