Active NPI
Karen L. Kohout, L. C. S. W.
- Clinical Social Worker
- Fairbanks, AK
National Provider Identifier
1376661082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW 230
- Practice address
- 605 Hughes Ave
Fairbanks, AK 99701-7539 - Phone
- (907) 479-0673
- Fax
- (907) 479-0683
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW 230 | AK | Primary |
Addresses
Primary practice location
605 Hughes Ave
Fairbanks, AK 99701-7539
Mailing address
PO Box 73233
Fairbanks, AK 99707-3233
Phone (907) 479-0673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L. C. S. W. NO. 230 | Other | AK | CLINICAL SOCIAL WORK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW 230 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376661082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73233",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997073233",
"telephone_number": "907-479-0673",
"fax_number": "907-479-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HUGHES AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017539",
"telephone_number": "907-479-0673",
"fax_number": "907-479-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHOUT",
"first_name": "KAREN",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "L. C. S. W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSW 230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORK",
"identifier": "L. C. S. W. NO. 230",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.