Individual provider Active NPI

Karen Teixeira, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1578103487
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW4054 Issued in RI
Practice address
1 Richmond SQ
Providence, RI 02906-5139
Phone
(401) 785-6216
NPI assigned
Jan 8, 2020
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16983 FL
Clinical Social Worker 1041C0700X ISW4054 RI Primary

Addresses

Primary practice location

1 Richmond SQ
Providence, RI 02906-5139

Mailing address

1 Richmond SQ
Providence, RI 02906-5139
Phone (401) 785-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200420001048 FL Practitioner - Clinical Social Worker 0244660074 Reassigns benefits to 1 organization
I20240710002372 RI Practitioner - Clinical Social Worker 0244660074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

1 Richmond SQ
Suite 300E
Providence, RI 02906-5160
Phone (401) 349-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16983FLMDClinical Social Worker
ISW4054RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Jun 1, 2024 Accepting new patients
Personal Recovery Network LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

14645 NW 77th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 785-9033

14499 N Dale Mabry Hwy
Ste 130S
Tampa, FL 33618
Phone (813) 530-1414

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1 Richmond Sq
Ste 300E
Providence, RI 02906
Phone (401) 481-8351

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Interoperability endpoints

  • Direct secure messaging: fbh.karendube@141363.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1578103487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-785-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-785-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.