Karen Gano, LCSW
Social Worker, Clinical in Santa Fe, NM. Individual provider (NPI-1).
NPI number1336720440
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1336720440
- Entity type
- Individual (NPI-1)
- Name
- Karen Gano
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2021
- Certification date
- Mar 28, 2021
- Last updated
- Apr 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-09421 | NM | Yes |
| 1041C0700X | Social Worker, Clinical | 0904010653 | VA | |
| 1041C0700X | Social Worker, Clinical | CSW.09924060 | CO |
Practice location
7033 Vuelta VistosoSanta Fe, NM 87507-4605
Phone 303-963-6674
Mailing address
7033 Vuelta VistosoSanta Fe, NM 87507-4605
Phone 303-963-6674
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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