Organization Active NPI

Karen Eiffert LCSW Inc

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1831602036
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00000142 Issued in CO
Legal business name
KAREN EIFFERT LCSW INC
Practice address
1446 Hover St.
Suite 203
Longmont, CO 80501-2425
Phone
(720) 308-5608
Fax
(720) 222-2024
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Karen Lynn Lubell, LCSWNPI 1538528419
Title
Owner Karen Eiffert LCSW Inc.
Phone
(720) 308-5608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 00000142 CO Primary

Addresses

Primary practice location

1446 Hover St.
Suite 203
Longmont, CO 80501-2425

Mailing address

6489 Ute Hwy
Longmont, CO 80503-9112
Phone (720) 308-5608

Other practice location 1

13171 N 87th St
Longmont, CO 80503-7883
Phone (720) 308-5608

Other names 1

  • Karen Eiffert LCSW LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200629003875 CO Part B Supplier - Clinic/Group Practice 3274955711 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1446 Hover St
Ste 203
Longmont, CO 80501
Phone (720) 308-5608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1831602036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6489 UTE HWY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805039112",
            "telephone_number": "720-308-5608",
            "fax_number": "720-222-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HOVER ST.",
            "address_2": "SUITE 203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012425",
            "telephone_number": "720-308-5608",
            "fax_number": "720-222-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13171 N 87th St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805037883",
            "country_code": "US",
            "telephone_number": "720-308-5608",
            "fax_number": "720-222-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAREN EIFFERT LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "LUBELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER KAREN EIFFERT LCSW INC.",
        "authorized_official_telephone_number": "720-308-5608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Eiffert LCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.