Individual provider Active NPI

Karen L Becker, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1144472259
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010035822 Issued in MO
Practice address
11628 Old Ballas Rd Ste 300
Saint Louis, MO 63141-7030
Phone
(314) 579-9664
Fax
(314) 801-8121
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 2010035822 MO Primary

Addresses

Primary practice location

11628 Old Ballas Rd Ste 300
Saint Louis, MO 63141-7030

Mailing address

11628 Old Ballas Rd Ste 300
Saint Louis, MO 63141-7030
Phone (314) 579-9664

Other identifiers 1

IdentifierTypeStateIssuer
12279787OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241205000936 MO Practitioner - Clinical Social Worker 2163786369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010035822MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Klynn Counseling LLC Clinical CurrentSince Nov 5, 2024 Accepting new patients

Locations

11628 Old Ballas Rd
Saint Louis, MO 63141
Phone (314) 579-9664

1001 Craig Rd
Ste 260
Saint Louis, MO 63146
Phone (314) 569-9848

Organizations & group practices 1

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1144472259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-579-9664",
            "fax_number": "314-801-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-579-9664",
            "fax_number": "314-801-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010035822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12279787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.