Individual provider Active NPI

Karen Ranee Bardwell, MSW, QMHP

  • Clinical Social Worker
  • Pottsboro, TX
National Provider Identifier
1992272892
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68692 Issued in TX
Practice address
108 S Magnolia St
Pottsboro, TX 75076-3058
Phone
(903) 771-8731
NPI assigned
Oct 29, 2018
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 68692 TX Primary

Addresses

Primary practice location

108 S Magnolia St
Pottsboro, TX 75076-3058

Mailing address

PO Box 962
Pottsboro, TX 75076-0962
Phone (903) 771-8731

Other practice location 1

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

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
I20241224000195 TX Practitioner - Clinical Social Worker 3173050531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carewright Clinical Services, PLLCGroup PAC ID 7315119518, 33 clinicians

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68692TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carewright Clinical Services, PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1992272892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750760962",
            "telephone_number": "903-771-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAGNOLIA ST",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750763058",
            "telephone_number": "903-771-8731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Greenville Ave Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064084",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "KAREN",
        "middle_name": "RANEE",
        "name_prefix": "Ms.",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsboro, TX

Sources for this page

Verify at the official NPI Registry.