Active NPI
Karen Edwards, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1497891592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04108
- Practice address
- 5629 FM 1960 W.
Suite 305
Houston, TX 77069-4217 - Phone
- (281) 880-9080
- NPI assigned
- Jan 29, 2007
- 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 | 04108 | TX | Primary |
Addresses
Primary practice location
5629 FM 1960 W.
Suite 305
Houston, TX 77069-4217
Mailing address
5629 FM 1960 W.
Suite 305
Houston, TX 77069-4217
Phone (281) 880-9080
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100101821001 | Other | TX | APS HEALTHCARE |
| 224960 | Other | TX | ANHEUSER BUSCH PIN # |
| 019863 | Other | TX | VALUE OPTIONS |
| 145196000 | Other | TX | MAGELLAN |
| 231543 | Other | TX | COMPSYCH |
| 101092 | Other | TX | ANHEUSER BUSCH PROVIDER # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04108 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1497891592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5629 FM 1960 W.",
"address_2": "SUITE 305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694217",
"telephone_number": "281-880-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5629 FM 1960 W.",
"address_2": "SUITE 305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694217",
"telephone_number": "281-880-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "04108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "100101821001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANHEUSER BUSCH PIN #",
"identifier": "224960",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "019863",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "145196000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "231543",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANHEUSER BUSCH PROVIDER #",
"identifier": "101092",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.