Individual provider Active NPI

Karen Wallace-Braun, LSW

  • Clinical Social Worker
  • Chadds Ford, PA
National Provider Identifier
1467680553
Registry record updated May 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW124812 Issued in PA
Practice address
100 Ridge Rd
Suite 21
Chadds Ford, PA 19317-9784
Phone
(215) 850-0051
NPI assigned
Jun 26, 2009
Last updated
May 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2013

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 SW124812 PA Primary

Addresses

Primary practice location

100 Ridge Rd
Suite 21
Chadds Ford, PA 19317-9784

Mailing address

903 Weathering LN
Chadds Ford, PA 19317-8932
Phone (215) 850-0051

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

LicenseStateTypeSpecialty
SW124812PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369526400000",
    "number": "1467680553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WEATHERING LN",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178932",
            "telephone_number": "215-850-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE RD",
            "address_2": "SUITE 21",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179784",
            "telephone_number": "215-850-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-BRAUN",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2013-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW124812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.