Individual provider Active NPI

Katherine Anne Carlson, MSW, LISW-S

  • Clinical Social Worker
  • South Lebanon, OH
National Provider Identifier
1083127351
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901787-SUPV Issued in OH
Practice address
206 Sycamore LN Apt 75
South Lebanon, OH 45065-1500
Phone
(513) 328-9620
NPI assigned
Nov 9, 2017
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 I.1901787-SUPV OH Primary

Addresses

Primary practice location

206 Sycamore LN Apt 75
South Lebanon, OH 45065-1500

Mailing address

206 Sycamore LN Apt 75
South Lebanon, OH 45065-1500
Phone (513) 328-9620

Other identifiers 1

IdentifierTypeStateIssuer
I.1901787-SUPVOtherOHOHIO COUNSELOR, SOCIAL WORK, AND MARRIAGE AND FAMILY THERAPIST BOARD

Other names 1

  • Kate Anne Carlson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021002682 OH Practitioner - Clinical Social Worker 3577983014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talbert HouseGroup PAC ID 1951314319, 37 clinicians

Practice addresses (Care Compare)

204 Cook Rd
Lebanon, OH 45036-9600
Phone (513) 751-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901787-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Behavioral Health Services, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Talbert House CurrentSince Dec 22, 2025 Accepting new patients
Christ Hospital PastSince Oct 3, 2022 Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

126 E 4th St
Franklin, OH 45005
Phone (513) 689-3051

1490 University Blvd
Hamilton, OH 45011
Phone (513) 867-5400

1490 University Blvd
Ste A
Hamilton, OH 45011

1502 University Blvd
Ste D
Hamilton, OH 45011

204 Cook Rd
Lebanon, OH 45036
Phone (513) 695-1357

212 Cook Rd
Lebanon, OH 45036
Phone (513) 695-1354

1131 Manchester Ave
Middletown, OH 45042
Phone (513) 422-4004

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1083127351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SYCAMORE LN APT 75",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651500",
            "telephone_number": "513-328-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SYCAMORE LN APT 75",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450651500",
            "telephone_number": "513-328-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901787-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO COUNSELOR, SOCIAL WORK, AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "I.1901787-SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "CARLSON",
            "middle_name": "ANNE",
            "credential": "MSW, LISW-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Lebanon, OH

Sources for this page

Verify at the official NPI Registry.