Individual provider Active NPI

Karen Marie Christopher, LCSW

  • Clinical Social Worker
  • Converse, TX
National Provider Identifier
1902529613
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58352 Issued in TX
Practice address
6110 Quiet Night LN
Converse, TX 78109-3786
Phone
(504) 722-2463
NPI assigned
Sep 19, 2022
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 58352 TX Primary

Addresses

Primary practice location

6110 Quiet Night LN
Converse, TX 78109-3786

Mailing address

6110 Quiet Night LN
Converse, TX 78109-3786
Phone (504) 722-2463

Other practice location 1

116 Gallery Cir Ste 201
San Antonio, TX 78258-3341
Phone (210) 802-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221115000939 TX Practitioner - Clinical Social Worker 2466820907 Reassigns benefits to 1 organization
Practice locations: Converse, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58352TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 21, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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, 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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1902529613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 QUIET NIGHT LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093786",
            "telephone_number": "504-722-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 QUIET NIGHT LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093786",
            "telephone_number": "504-722-2463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Gallery Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583341",
            "country_code": "US",
            "telephone_number": "210-802-4695",
            "fax_number": "210-802-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.