Active NPI
Karren Johnson, LCSW
- Clinical Social Worker
- San Angelo, TX
National Provider Identifier
1689109712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64056 | TX | MD | Counselor |
| SWB-2023-0602 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Healthcare Solutions Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.