Karen K Porter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004525 Issued in GA

Practice address

313 Boynton Dr
Ringgold, GA 30736-2737

Phone

(706) 935-3926

Fax

(706) 935-3930

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Karen P Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1225329741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "STE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-850-8464",
            "fax_number": "770-850-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BOYNTON DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362737",
            "telephone_number": "706-935-3926",
            "fax_number": "706-935-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KAREN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004525",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KELLEY",
            "middle_name": "P",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caylie Peters
• Dawn Michele Pettigrew, LPN
• Melissa J Phillips, MD
• Phoenix Cardiovascular Institute LLC
• Stephanie Lynn Pierce, FNP
• Brittney Potter, LCSW
• Tajuana Michelle Prater, FNP-C
• Pray Chiropractic P.C.
• Pray Chiropractic PC
• Michael C Preston, MD

• Clinical Social Worker in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.