Individual provider Active NPI

Karen Michelle Dobson Zamora, LCSW

  • Clinical Social Worker
  • Georgetown, KY
National Provider Identifier
1275840688
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3708 Issued in KY
Practice address
2689 Frankfort Rd
Georgetown, KY 40324-8611
Phone
(859) 537-9779
Fax
(502) 868-9312
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 3708 KY Primary

Addresses

Primary practice location

2689 Frankfort Rd
Georgetown, KY 40324-8611

Mailing address

2689 Frankfort Rd
Georgetown, KY 40324-8611
Phone (859) 537-9779

Other identifiers 1

IdentifierTypeStateIssuer
7100265970MedicaidKY

Other names 1

  • Miss Karen Michelle Dobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20131223001379 KY Practitioner - Clinical Social Worker 6507093317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3708KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1275840688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 FRANKFORT RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248611",
            "telephone_number": "859-537-9779",
            "fax_number": "502-868-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2689 FRANKFORT RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248611",
            "telephone_number": "859-537-9779",
            "fax_number": "502-868-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "KAREN",
        "middle_name": "MICHELLE DOBSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100265970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DOBSON",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.