Karen Christine Carrillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67354 Issued in TX

Practice address

1005 W Jefferson Blvd Ste 203
Dallas, TX 75208-5091

Phone

(469) 300-9280

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Coping Center LLCGroup PAC ID 1456744713, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• My Coping Center LLC

  • Multi-Specialty Clinic/Center
  • The Colony, TX
  • NPI 1699439869
  Medicare reassignment Care Compare group NPD
• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Inspire Senior Care

  • Cognitive & Behavioral Psychologist
  • Spring Hill, TN
  • NPI 1730627795

  Clinical

  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1902661044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W JEFFERSON BLVD STE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085091",
            "telephone_number": "469-300-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W JEFFERSON BLVD STE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085091",
            "telephone_number": "469-300-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "KAREN",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Carter MD PLLC
• Shalisa Tornette Carrier, B.S.
• James Carrigan, DMD
• Abril Eunice Carrillo, MD
• Jonelle Carrillo
• Madison Carrillo, PT, DPT
• Maria Martha Carrillo, SLPA
• Tomas Carrillo Jr., BA, QMHP-CS
• Maurice Tyrone Carrington, LCDC
• Michaela Masters Carrington, RDN

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.

Verify at the official NPI Registry.