Individual provider Active NPI

Karen Sue Ferrell, MSW, LCSW

  • Clinical Social Worker
  • Farmington, MO
National Provider Identifier
1326517061
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017011139 Issued in MO
Practice address
114 E Columbia St Ste B11
Farmington, MO 63640-3103
Phone
(573) 915-5030
Fax
(888) 932-4678
NPI assigned
Nov 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MO
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2017011139 MO Primary

Addresses

Primary practice location

114 E Columbia St Ste B11
Farmington, MO 63640-3103

Mailing address

114 E Columbia St Ste B11
Farmington, MO 63640-3103
Phone (573) 915-5030

Other practice location 1

330 N State St Ste A
Desloge, MO 63601-3041
Phone (573) 327-9744

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1326517061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E COLUMBIA ST STE B11",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403103",
            "telephone_number": "573-915-5030",
            "fax_number": "888-932-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E COLUMBIA ST STE B11",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403103",
            "telephone_number": "573-915-5030",
            "fax_number": "888-932-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N State St Ste A",
            "address_purpose": "LOCATION",
            "city": "Desloge",
            "state": "MO",
            "postal_code": "636013041",
            "country_code": "US",
            "telephone_number": "573-327-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017011139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.