Individual provider Active NPI

Karen Kerschmann, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1043397789
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22451 Issued in CA
Practice address
5440 Morehouse Dr
3800 Box 20
San Diego, CA 92121-1798
Phone
(619) 889-0662
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22451 CA Primary

Addresses

Primary practice location

5440 Morehouse Dr
3800 Box 20
San Diego, CA 92121-1798

Mailing address

5440 Morehouse Dr
3800 Box 20
San Diego, CA 92121-1798
Phone (619) 889-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 19, 2024 through Dec 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22451CAMDClinical Social Worker
22451CAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1043397789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR",
            "address_2": "3800 BOX 20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211798",
            "telephone_number": "619-889-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR",
            "address_2": "3800 BOX 20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211798",
            "telephone_number": "619-889-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHMANN",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.