Individual provider Active NPI

Karren Johnson, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1689109712
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64056 Issued in TX
Practice address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486
Phone
(325) 944-2561
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0602 NM
Clinical Social Worker 1041C0700X CSW007650 GA
Clinical Social Worker 1041C0700X 64056 TX Primary

Addresses

Primary practice location

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486

Mailing address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (318) 542-2009

Other names 1

  • Karren Fontenot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170516002695 TX Practitioner - Clinical Social Worker 9638446941 Reassigns benefits to 1 organization
I20210119002677 NM Practitioner - Clinical Social Worker 9638446941 Reassigns benefits to 1 organization
I20210826000514 GA Practitioner - Clinical Social Worker 9638446941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64056TXMDCounselor
SWB-2023-0602NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare Solutions Inc Clinical CurrentSince Sep 20, 2021 Accepting new patients

Locations

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

1201 Shadowlawn Dr
Ste 119
Saint Marys, GA 31558
Phone (912) 290-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1689109712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "318-542-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036486",
            "telephone_number": "325-944-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0602",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARREN",
            "last_name": "FONTENOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.