Individual provider Active NPI

Karen Lynn Tinsley, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1104997246
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19757 Issued in CA
Practice address
446 S Marengo Ave
Ste a
Pasadena, CA 91101-3113
Phone
(310) 922-0044
Fax
(626) 628-3277
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 LCS19757 CA Primary

Addresses

Primary practice location

446 S Marengo Ave
Ste a
Pasadena, CA 91101-3113

Mailing address

PO Box 60391
Pasadena, CA 91116
Phone (310) 922-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19757CAMDClinical Social Worker
19757CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Tinsley, a Licensed Clinical Social Worker, Professional Corp Clinical CurrentSince Jan 21, 2022 Accepting new patients
K.C. Bugg, Psy.D., a Psychological Corporation PastSince Jan 2, 2008 Accepting new patients

Locations

1605 Hope St
Ste 210
South Pasadena, CA 91030
Phone (310) 991-3727

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1104997246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60391",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91116",
            "telephone_number": "310-922-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 S MARENGO AVE",
            "address_2": "STE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013113",
            "telephone_number": "310-922-0044",
            "fax_number": "626-628-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.