Active NPI
Karen Marie Stenstrom, LCSW
- Clinical Social Worker
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004100A
- Practice address
- 7409 Eagle Crest Blvd Ste G
Evansville, IN 47715-9136 - Phone
- (812) 842-4020
- Fax
- (812) 842-4019
- NPI assigned
- Jan 26, 2022
- Last updated
- Jan 26, 2022
- 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 | 34004100A | IN | Primary |
Addresses
Primary practice location
7409 Eagle Crest Blvd Ste G
Evansville, IN 47715-9136
Mailing address
PO Box 637273
Cincinnati, OH 45263-7273
Phone (812) 842-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34004100A | Other | IN | IN STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7409 Eagle Crest Blvd G
Wellness and Counseling Services
Evansville, IN 47715-9136
Phone (812) 842-4020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004100A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Women's Hospital of Southern Indiana, LLC | Clinical | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| Deaconess Women's Hospital of Southern Indiana, LLC | Clinical | Current | Accepting new patients |
Locations
7409 Eagle Crest Blvd
Ste G
Evansville, IN 47715
Phone (812) 774-8919
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
-
dba The Women's Hospital Provider Services
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
Clinical
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1487306825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637273",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637273",
"telephone_number": "812-842-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 EAGLE CREST BLVD STE G",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159136",
"telephone_number": "812-842-4020",
"fax_number": "812-842-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENSTROM",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004100A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN STATE LICENSE",
"identifier": "34004100A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.