Individual provider Active NPI

Karen June Brooks, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1194358499
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27768 Issued in TX
Practice address
8551 Boat Club Rd Ste 115
Fort Worth, TX 76179-3674
Phone
(682) 286-8983
NPI assigned
Feb 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 27768 TX Primary

Addresses

Primary practice location

8551 Boat Club Rd Ste 115
Fort Worth, TX 76179-3674

Mailing address

9625 Lea Shore St
Fort Worth, TX 76179-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210505002141 TX Practitioner - Clinical Social Worker 9133538036 Reassigns benefits to 2 organizations
Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8101 Boat Club Rd
Suite 208
Fort Worth, TX 76179-3631
Phone (682) 286-8983

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27768TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Sep 15, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 3, 2021 Accepting new patients
Che Behavioral Health Counseling Services of Texas, P.a. Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1194358499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 LEA SHORE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 BOAT CLUB RD STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793674",
            "telephone_number": "682-286-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KAREN",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.