Active NPI
Karen Ebner, MSW, LCSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1770941544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008199A
- Practice address
- 3512 Stellhorn Rd
Fort Wayne, IN 46815 - Phone
- (260) 483-9081
- NPI assigned
- Feb 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 34008199A | IN | Primary |
Addresses
Primary practice location
3512 Stellhorn Rd
Fort Wayne, IN 46815
Mailing address
PO Box 392552
Pittsburgh, PA 15251-9500
Phone (512) 575-8028
Other practice location 1
6655 E US Highway 36
Avon, IN 46123
Phone (317) 272-3330
Other practice location 2
6655 E US Highway 36
Avon, IN 46123
Phone (317) 272-3330
Other names 1
- Karen Hylek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Clinical | Past | Accepting new patients |
| Generations Counseling Services, LLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Greenwood, IN
- NPI 1821509126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1770941544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392552",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519500",
"telephone_number": "512-575-8028",
"fax_number": "512-772-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 STELLHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46815",
"telephone_number": "260-483-9081"
}
],
"practiceLocations": [
{
"address_1": "6655 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "46123",
"country_code": "US",
"telephone_number": "317-272-3330",
"fax_number": "317-272-1713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6655 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "46123",
"country_code": "US",
"telephone_number": "317-272-3330",
"fax_number": "317-272-1713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBNER",
"first_name": "KAREN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008199A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HYLEK",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.