Individual provider Active NPI

Karen M. Allen, LCSW

  • Clinical Social Worker
  • Dalton, GA
National Provider Identifier
1255839130
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007968 Issued in GA
Practice address
306 N Thornton Ave
Dalton, GA 30720-3259
Phone
(706) 509-0130
Fax
(706) 237-6503
NPI assigned
Jan 25, 2018
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 CSW007968 GA Primary

Addresses

Primary practice location

306 N Thornton Ave
Dalton, GA 30720-3259

Mailing address

108 E 5TH Ave Ste B
Rome, GA 30161-3128
Phone (706) 509-0130

Other identifiers 1

IdentifierTypeStateIssuer
CSW007968OtherGALICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@balancedlivingrome.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260226001857 GA Practitioner - Clinical Social Worker 2466933551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

517 Benjamin Way
Suite 400
Dalton, GA 30721-4659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007968GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Living Counseling Center CurrentSince Mar 13, 2022 Accepting new patients
Advanced Creative Solutions Clinical CurrentSince Jan 18, 2026 Accepting new patients
Hamilton Physician Group Inc PastSince Jan 18, 2026 Accepting new patients

Locations

517 Benjamin Way
Ste 400
Dalton, GA 30721
Phone (706) 237-8303

108 E 5th Ave
#B
Rome, GA 30161
Phone (706) 509-0130

Organizations & group practices 3

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1255839130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 5TH AVE STE B",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613128",
            "telephone_number": "706-509-0130",
            "fax_number": "706-237-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203259",
            "telephone_number": "706-509-0130",
            "fax_number": "706-237-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "CSW007968",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@balancedlivingrome.com",
            "affiliation": "N",
            "endpointDescription": "Secure EMAIL",
            "address_1": "306 N Thornton Ave",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307203259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.