Kara J Andresen
Individual provider Active NPI Clinical Social Worker · El Prado, NM
NPI 1609965714 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1609965714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-07060 (NM)
- Practice address
- 4 Manzano Viejo
El Prado, NM 87529-5044 - Phone
- (575) 741-0472
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4 Manzano Viejo
El Prado, NM 87529-5044
Phone (575) 741-0472
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110125000644 | NM | Practitioner - Clinical Social Worker | 5294914123 |
Reassigns benefits to 1 organization Practice locations: Taos, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-07060 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Lotus Healing Therapy LLC | Clinical | Current |
Accepting new patients |
| Stillwater Counseling LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-07060 | NM | Yes |
Addresses
Primary practice location
4 Manzano Viejo
El Prado, NM 87529-5044
Mailing address
4 Manzano Viejo
El Prado, NM 87529-5044
Phone (575) 741-0472
Other providers in El Prado, NM
- A Family Counseling Center
- Logan Abrams-Jenkins
- Alpine Finish LLC
- Anansi Charter School
- Francine Anaya
- Julie Arneson
- Francesca Pearl Ascenzi
- Abraham Thomas Balsamo
- Terry Barsano
- Bevilacqua LLC
All providers in El Prado, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.