MEDICARE: KALEY ALEXANDRA KLECKA LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	111195	TX

General Provider Information

NPI Number	:	1609731124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALEY ALEXANDRA KLECKA LMSW

Provider Business Mailing Address
First Line	:	13210 MADRONE MOUNTAIN WAY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-8833
Country	:	US
Telephone Number	:	512-497-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3571 FAR WEST BLVD # 3435
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-766-3454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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