Karole Denise Blake-Shorter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4250 Issued in TN

Practice address

2600 Poplar Ave
Suite 324
Memphis, TN 38112-3851

Phone

(901) 324-0686

Fax

(901) 324-0688

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Julia K. Putnam

  dba Life Options

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1851342471
  NPD (past)
• Ultimate Solutions LLC

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1780605790
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083638712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123851",
            "telephone_number": "901-324-0686",
            "fax_number": "901-324-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123851",
            "telephone_number": "901-324-0686",
            "fax_number": "901-324-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE-SHORTER",
        "first_name": "KAROLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3699154",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Blackshear, LCSW
• Taneshia Blackshire
• Shanna Nichole Blackwell, FNP-C
• Christine H Blair, PNP-PC, RN
• Robert Neal Blair, D.D.S.
• Claire Blake, CGC
• Jasmine Blake
• Lindsey Blake
• Parker Alden Blake, PA-C
• Taylor Renee Blakemore

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.