Healthcare Provider Details

I. General information

NPI: 1164345807
Provider Name (Legal Business Name): JESSICA LYNN SCHROEDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSIE SCHROEDER LCSW

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W 38TH ST STE 44
AUSTIN TX
78731-6319
US

IV. Provider business mailing address

1500 W 38TH ST STE 44
AUSTIN TX
78731-6319
US

V. Phone/Fax

Practice location:
  • Phone: 512-956-6463
  • Fax: 866-653-5142
Mailing address:
  • Phone: 512-956-6463
  • Fax: 866-653-5142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111733
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: