Individual provider Active NPI

Karen S Ledford, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1497895502
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801076273 Issued in MI
Practice address
205 W 29TH St Ste 10
Holland, MI 49423-6973
Phone
(616) 219-8286
Fax
(855) 887-3889
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 6801076273 MI Primary

Addresses

Primary practice location

205 W 29TH St Ste 10
Holland, MI 49423-6973

Mailing address

205 W 29TH St Ste 10
Holland, MI 49423-6973
Phone (616) 219-8286

Other practice location 1

895 Clareridge Ct
Holland, MI 49423-7625
Phone (616) 219-8286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801076273MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1497895502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 29TH ST STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236973",
            "telephone_number": "616-219-8286",
            "fax_number": "855-887-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 29TH ST STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236973",
            "telephone_number": "616-219-8286",
            "fax_number": "855-887-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Clareridge Ct",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494237625",
            "country_code": "US",
            "telephone_number": "616-219-8286",
            "fax_number": "855-887-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801076273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.