Individual provider Active NPI

Karen Marie O'Brien, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1730365875
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0005008 Issued in OH
Practice address
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Phone
(614) 274-1455
Fax
(614) 274-1433
NPI assigned
Jan 19, 2008
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0005008 OH Primary

Addresses

Primary practice location

1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222

Mailing address

1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Phone (614) 274-1455

Other identifiers 1

IdentifierTypeStateIssuer
I.0005008OtherOHLISW

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
I20080226000055 OH Practitioner - Clinical Social Worker 3577647841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1160 W Broad St
Columbus, OH 43222-1352
Phone 61427414556231

675 Price Rd
Newark, OH 43055-9506
Phone (614) 274-1455

777 W State St
Suite 201
Columbus, OH 43222-1523
Phone 61427414556231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0005008OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc CurrentSince May 30, 2015 Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center Inc CurrentSince May 30, 2015 Accepting new patients
Lower Lights Christian Health Center Inc PastSince Mar 12, 2023 Accepting new patients

Locations

1160 W Broad St
Columbus, OH 43222
Phone (614) 274-1433

1160 W Broad St
Lowr Lgts
Columbus, OH 43222
Phone 6142741455 ext. 323

1560 S High St
Columbus, OH 43207
Phone 61427414556220

171 E 5th Ave
Columbus, OH 43201

777 W State St
Ste 201
Columbus, OH 43222
Phone (614) 234-5953

L3957
Columbus, OH 43260

773 S Walnut St
Marysville, OH 43040
Phone (937) 578-2860

69 S Terrace Ave
Newark, OH 43055
Phone 61427414556231

6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361

Organizations & group practices 9

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1730365875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43222",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43222",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-19",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "I.0005008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.