Individual provider Active NPI

Karen L Paradise, L.I.S.W.

  • Clinical Social Worker
  • Canfield, OH
National Provider Identifier
1720208663
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1201046 Issued in OH
Practice address
3649 Canfield Rd
Canfield, OH 44406-9385
Phone
(330) 270-3040
NPI assigned
Apr 25, 2007
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0012644 OH
Clinical Social Worker 1041C0700X I.1201046 OH Primary

Addresses

Primary practice location

3649 Canfield Rd
Canfield, OH 44406-9385

Mailing address

3649 Canfield Rd
Canfield, OH 44406-9385
Phone (330) 270-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000424 OH Practitioner - Clinical Social Worker 1557511904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Practice addresses (Care Compare)

3649 Canfield Rd
Suite 8
Canfield, OH 44406-9385
Phone (330) 270-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0012644OHMDSocial Worker
I.1201046OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Counseling Services, Inc CurrentSince Oct 1, 2013 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Past Accepting new patients

Locations

3649 Canfield Rd
Canfield, OH 44406
Phone (330) 270-3040

3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040

4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1720208663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069385",
            "telephone_number": "330-270-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069385",
            "telephone_number": "330-270-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0012644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.