Karen Jo Stark-Bredeweg, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3198 Issued in OR

Practice address

921 Country Club Rd
Suite #222
Eugene, OR 97401-2257

Phone

(541) 686-6000

Fax

(541) 433-8239

NPI assigned

Sep 14, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Karin Jo Stark-Bredeweg Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christians As Family AdvocatesGroup PAC ID 5092949446, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christians As Family Advocates

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548474562
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1558643635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "SUITE #222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000",
            "fax_number": "541-433-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "SUITE #222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000",
            "fax_number": "541-433-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK-BREDEWEG",
        "first_name": "KAREN",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "STARK-BREDEWEG",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Stanley, LMT
• Gwendolyn Rose Stanley, CSWA
• Cherry Lilliana Stanton
• Daniel Stanton, DPT
• Lauren Stapleton
• Darby Stark
• Hudsen Joseph-Palmer Stark
• Kathleen Stark, CADC II
• Mary Kathryn Stark, RN, MS, FNP, DNP
• Sara Callender Stark, PHD

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.

Verify at the official NPI Registry.