Individual provider Active NPI

Karen E Vedrody, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1841265360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018399 Issued in MI
Practice address
4481 Lennon Rd
Flint, MI 48507-1064
Phone
(810) 732-9451
Fax
(810) 732-1002
NPI assigned
Feb 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801018399 MI Primary
Clinical Social Worker 1041C0700X 6801018407 MI

Addresses

Primary practice location

4481 Lennon Rd
Flint, MI 48507-1064

Mailing address

4481 Lennon Rd
Flint, MI 48507-1064
Phone (810) 732-9451

Other names 1

  • Mr. John V Webb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801018407MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John V Webb MSW Inc Clinical Past Accepting new patients

Organizations & group practices 1

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": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841265360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 LENNON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071064",
            "telephone_number": "810-732-9451",
            "fax_number": "810-732-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LENNON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071064",
            "telephone_number": "810-732-9451",
            "fax_number": "810-732-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDRODY",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018399",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "WEBB",
            "middle_name": "V",
            "prefix": "MR.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.