Individual provider Active NPI

Karen Beth Gerson, LCSW

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1275602054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2437 Issued in LA
Practice address
200 Mariners Plaza Dr
104
Mandeville, LA 70448-4795
Phone
(504) 831-4676
Fax
(985) 674-1257
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2437 LA Primary

Addresses

Primary practice location

200 Mariners Plaza Dr
104
Mandeville, LA 70448-4795

Mailing address

309 Hyacinth LN
Mandeville, LA 70471-2921
Phone (504) 831-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110302000090 LA Practitioner - Clinical Social Worker 6204017833 Practice locations: Mandeville, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Park Dr
Suite a
Mandeville, LA 70471-3205
Phone (985) 807-6061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275602054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HYACINTH LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712921",
            "telephone_number": "504-831-4676",
            "fax_number": "985-674-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARINERS PLAZA DR",
            "address_2": "104",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484795",
            "telephone_number": "504-831-4676",
            "fax_number": "985-674-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.