Active NPI
Karen K Redding, LCSW, PH.D.
- Clinical Social Worker
- Laguna Beach, CA
National Provider Identifier
1467722389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11709
- Practice address
- 1970 S Coast Hwy Ste a
Laguna Beach, CA 92651-3608 - Phone
- (949) 715-7007
- Fax
- (949) 488-7840
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 11709 | CA | Primary |
Addresses
Primary practice location
1970 S Coast Hwy Ste a
Laguna Beach, CA 92651-3608
Mailing address
1970 S Coast Hwy Ste a
Laguna Beach, CA 92651-3608
Phone (949) 715-7007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 31, 2023 through May 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11709 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1467722389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 S COAST HWY STE A",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513608",
"telephone_number": "949-715-7007",
"fax_number": "949-488-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 S COAST HWY STE A",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513608",
"telephone_number": "949-715-7007",
"fax_number": "949-488-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "KAREN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "11709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.