Individual provider Active NPI

Karen Imala, LCSW

  • Clinical Social Worker
  • Katy, TX
National Provider Identifier
1255466611
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51071 Issued in TX
Practice address
24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433
Phone
(832) 356-9470
Fax
(718) 459-5621
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 51071 TX Primary

Addresses

Primary practice location

24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433

Mailing address

4211 Mt Vinson Way
Katy, TX 77449-4536
Phone (832) 704-1577

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
I20150731016236 TX Practitioner - Clinical Social Worker 7618281809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

1419 Mahlman St
Rosenburg, TX 77471-3911
Phone (718) 298-4375

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

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince May 15, 2021 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Apr 20, 2021 Accepting new patients

Locations

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

99 Rigby Owen Rd
Conroe, TX 77304
Phone (574) 295-0096

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

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

109 N McKinney St
Sweeny, TX 77480
Phone (409) 548-3383

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1255466611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 MT VINSON WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494536",
            "telephone_number": "832-704-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948433",
            "telephone_number": "832-356-9470",
            "fax_number": "718-459-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMALA",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.