Individual provider Active NPI

Karen G Forbes, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1407192271
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008116 Issued in VA
Practice address
2728 Colonial Ave SW
Suite 7
Roanoke, VA 24015-3878
Phone
(540) 353-4015
Fax
(540) 685-4712
NPI assigned
Dec 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 0904008116 VA Primary

Addresses

Primary practice location

2728 Colonial Ave SW
Suite 7
Roanoke, VA 24015-3878

Mailing address

2728 Colonial Ave SW
Suite 7
Roanoke, VA 24015-3878
Phone (540) 353-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180507002757 VA Practitioner - Clinical Social Worker 8022391937 Reassigns benefits to 1 organization
Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Mindful Healing IncGroup PAC ID 3274800750, 2 clinicians

Practice addresses (Care Compare)

3618 Brambleton Ave
Suite C
Roanoke, VA 24018-3659
Phone (540) 521-0151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008116VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Inc. Clinical CurrentSince Apr 25, 2017 Accepting new patients
Star City Therapy Services CurrentSince Jun 24, 2023 Accepting new patients
Insight Therapeutic Services Clinical PastSince Feb 23, 2018 Accepting new patients
Individualized Counseling of Roanoke LLC Clinical PastSince Nov 29, 2015 Accepting new patients

Locations

3536 Brambleton Ave
Ste 7
Roanoke, VA 24018
Phone (540) 353-4015

3618 Brambleton Ave
Ste C
Roanoke, VA 24018
Phone (540) 206-8265

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1407192271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 COLONIAL AVE SW",
            "address_2": "SUITE 7",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153878",
            "telephone_number": "540-353-4015",
            "fax_number": "540-685-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 COLONIAL AVE SW",
            "address_2": "SUITE 7",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153878",
            "telephone_number": "540-353-4015",
            "fax_number": "540-685-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "KAREN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-22",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.