Provider Demographics
NPI:1609167386
Name:WAPPLER, KRISSY RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISSY
Middle Name:RENEE
Last Name:WAPPLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KRISSY
Other - Middle Name:
Other - Last Name:WAPPLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:803 LAKEWAY DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-4433
Mailing Address - Country:US
Mailing Address - Phone:512-884-1277
Mailing Address - Fax:
Practice Address - Street 1:14001 BEE CAVE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-7173
Practice Address - Country:US
Practice Address - Phone:512-884-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX548691041C0700X
CT0074721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical