Karen Durham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6965 Issued in OK

Practice address

629 W Main St # 1035
Oklahoma City, OK 73102-2221

Phone

(405) 901-1793

Fax

(405) 351-4247

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nurture and Bloom Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1558040030
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1043900293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST # 1035",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "405-901-1793",
            "fax_number": "405-351-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST # 1035",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "405-901-1793",
            "fax_number": "405-351-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylan Durant
• Michele Shantai Durant, BS
• Karisa Lynne Durbin, PA-C
• Ross Duren
• Giorgio Durham
• Maira Chantel Durham
• Robert Joel Durham
• Sara Gale Durham, LPC CANDIDATE
• Sarah Rachel Durica, M.D.
• Brenda Carol Durley

• All providers in Oklahoma City, OK
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.