Individual provider Active NPI

Karen Ann Haggard, MSW, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1225277916
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010863 Issued in IL
Practice address
164 Division St
Suite 203
Elgin, IL 60120-5587
Phone
(224) 242-5110
Fax
(224) 856-1350
NPI assigned
Feb 19, 2009
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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 149.010863 IL Primary

Addresses

Primary practice location

164 Division St
Suite 203
Elgin, IL 60120-5587

Mailing address

7015 Rote Rd
Suite 105
Rockford, IL 61107-2612
Phone (815) 395-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170109000442 IL Practitioner - Clinical Social Worker 9931480894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1560 Wall St
Suite 204
Naperville, IL 60563-1146
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.010863ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity of Mind Counseling, Inc. Clinical Current Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 14, 2021 Accepting new patients
Clarity, Calm & Peace Behavioral Health Services, Inc. Current Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

164 Division St
Ste 203
Elgin, IL 60120
Phone (224) 242-5110

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593

Interoperability endpoints

  • Direct secure messaging: karenhaggard@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1225277916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 ROTE RD",
            "address_2": "SUITE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072612",
            "telephone_number": "815-395-1276",
            "fax_number": "815-395-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST",
            "address_2": "SUITE 203",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205587",
            "telephone_number": "224-242-5110",
            "fax_number": "224-856-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.