Active NPI
Karen J. Klibanow, LCSW
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1205906757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3504
- Practice address
- 3910 S. Rural Rd.
Suite J
Tempe, AZ 85282 - Phone
- (480) 317-9868
- Fax
- (480) 317-9867
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-3504 | AZ | Primary |
Addresses
Primary practice location
3910 S. Rural Rd.
Suite J
Tempe, AZ 85282
Mailing address
12151 E Cortez Dr
Scottsdale, AZ 85259-3324
Phone (480) 540-4194
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3504 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205906757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12151 E CORTEZ DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593324",
"telephone_number": "480-540-4194",
"fax_number": "480-317-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 S. RURAL RD.",
"address_2": "SUITE J",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-317-9868",
"fax_number": "480-317-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIBANOW",
"first_name": "KAREN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-3504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- 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.