Active NPI
Karen Vigeland
- Clinical Social Worker
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15743
- Practice address
- 4840 48TH St W Apt 606
Bradenton, FL 34210-2864 - Phone
- (941) 224-7674
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15743 | FL | Primary |
Addresses
Primary practice location
4840 48TH St W Apt 606
Bradenton, FL 34210-2864
Mailing address
4840 48TH St W Apt 606
Bradenton, FL 34210-2864
Phone (941) 224-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255
2057 Edgewater Dr
Clearwater, FL 33755-1028
Phone (727) 446-6514
7712 Windwood Way
Parker, CO 80134-6343
Phone (855) 241-7160
900 NE 18TH Ave
Suite 1207
Fort Lauderdale, FL 33304-3052
Phone (954) 489-2728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon of Colorado LLC | Clinical | Current | Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1841938867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 48TH ST W APT 606",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102864",
"telephone_number": "941-224-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 48TH ST W APT 606",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102864",
"telephone_number": "941-224-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGELAND",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.