Organization Active NPI

Karen Webb Acsw PC

  • Community/Behavioral Health Agency
  • Grosse Pointe, MI
National Provider Identifier
1083924054
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801046577 Issued in MI
Legal business name
KAREN WEBB ACSW PC
Practice address
18090 Mack Ave
Suite B
Grosse Pointe, MI 48230-6251
Phone
(313) 642-1997
Fax
(313) 642-1998
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Karen Lee Webb, ACSWNPI 1972500502
Title
President
Phone
(313) 642-1997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801046577 MI Primary

Addresses

Primary practice location

18090 Mack Ave
Suite B
Grosse Pointe, MI 48230-6251

Mailing address

18090 Mack Ave
Suite B
Grosse Pointe, MI 48230-6251
Phone (313) 642-1997

Other identifiers 1

IdentifierTypeStateIssuer
8008915260OtherMIBLUE CROSS/BLUE SHIELD OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000935 MI Part B Supplier - Clinic/Group Practice 6204023195 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe, MI

National Provider Directory

National Provider Directory

Locations

18090 Mack Ave
Ste B
Grosse Pointe, MI 48230
Phone (313) 642-1997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1083924054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 MACK AVE",
            "address_2": "SUITE B",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306251",
            "telephone_number": "313-642-1997",
            "fax_number": "313-642-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 MACK AVE",
            "address_2": "SUITE B",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306251",
            "telephone_number": "313-642-1997",
            "fax_number": "313-642-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN WEBB ACSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-642-1997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801046577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF MICHIGAN",
            "identifier": "8008915260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.