Active NPI
Karen Ashton Justice, LCSW
- Clinical Social Worker
- Pembroke Pines, FL
National Provider Identifier
1538719331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12918
- Practice address
- 2250 Pembroke Falls Blvd
Pembroke Pines, FL 33028 - Phone
- (954) 859-1049
- NPI assigned
- Sep 13, 2019
- 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 | SW12918 | FL | Primary |
Addresses
Primary practice location
2250 Pembroke Falls Blvd
Pembroke Pines, FL 33028
Mailing address
8958 W. State Road 84
#1131
Ft. Lauderdale, FL 33324
Phone (954) 859-1049
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW12918 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1538719331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8958 W. STATE ROAD 84",
"address_2": "#1131",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-859-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 PEMBROKE FALLS BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-859-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "KAREN",
"middle_name": "ASHTON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2022-01-11",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.