Active NPI
Karen Ruth Chisholm, LMSW
- Social Worker
- Gastonia, NC
National Provider Identifier
1619228707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10022
- Practice address
- 9108 Butterfly Court
Gastonia, NC 28056-2937 - Phone
- (704) 576-9738
- NPI assigned
- Sep 28, 2012
- Last updated
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10022 | SC | Primary |
Addresses
Primary practice location
9108 Butterfly Court
Gastonia, NC 28056-2937
Mailing address
9108 Butterfly CT
Gastonia, NC 28056-9331
Phone (704) 576-9738
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 |
|---|---|---|---|
| 10022 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1619228707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9108 BUTTERFLY CT",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280569331",
"telephone_number": "704-576-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9108 BUTTERFLY COURT",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280562937",
"telephone_number": "704-576-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "KAREN",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "10022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Children's Advocacy Network, LLC
- Children's Advocacy Network, LLC
- Childrens Advocacy Network LLC
- Childrens Advocacy Network LLC
- Chiron-Health LLC (Carolinas Institute for Behavioral Health)
- Kelly Chrimes, LCSWA
- Stacey Lynn Christensen, LCSW
- Essence Christerfield
- Kelley Morgan Christian, CNM
- Christway Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.