Individual provider Active NPI

Karima Deadrick, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1255671707
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29136 Issued in CA
Practice address
10281 Kidd St
2ND Floor
Riverside, CA 92503-3414
Phone
(951) 358-3934
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 29136 CA
Social Worker 104100000X 29136 CA
Clinical Social Worker 1041C0700X 29136 CA Primary

Addresses

Primary practice location

10281 Kidd St
2ND Floor
Riverside, CA 92503-3414

Mailing address

682 Azure LN
Unit 2
Corona, CA 92879-7855
Phone (909) 559-2661

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

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1255671707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 AZURE LN",
            "address_2": "UNIT 2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797855",
            "telephone_number": "909-559-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 KIDD ST",
            "address_2": "2ND FLOOR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033414",
            "telephone_number": "951-358-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEADRICK",
        "first_name": "KARIMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "29136",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "29136",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.