Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kino Park

Individual provider Clinical Social Worker · NPI 1083474530

Kino Park is a Clinical Social Worker in Austin, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

802 Lydia St
Austin, TX 78702-2623
Phone: (512) 380-1684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 107952 (TX)

Record details

NPI number1083474530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

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