Active NPI
Karen Jean Pearson, MSW
- Social Worker
- Mandan, ND
National Provider Identifier
1649612896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4859
- Practice address
- 3013 Belgian BND SE
Mandan, ND 58554-5141 - Phone
- (701) 471-7827
- NPI assigned
- Jul 29, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4859 | ND | Primary |
Addresses
Primary practice location
3013 Belgian BND SE
Mandan, ND 58554-5141
Mailing address
3013 Belgian BND SE
Mandan, ND 58554-5141
Phone (701) 471-7827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4859 | Other | ND | NORTH DAKOTA BOARD OF SOCIAL WORK EXAMINERS |
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 |
|---|---|---|---|
| 4859 | ND | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1649612896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 BELGIAN BND SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585545141",
"telephone_number": "701-471-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 BELGIAN BND SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585545141",
"telephone_number": "701-471-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "KAREN",
"middle_name": "JEAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "4859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH DAKOTA BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "4859",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.