Basic Information
| Provider Information | |||||||||
| NPI: | 1437232808 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SASSER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | HODGES | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5519 TIMBER GREEN DR | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760163369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8178458828 | ||||||||
| FaxNumber: | 9362733786 | ||||||||
| Practice Location | |||||||||
| Address1: | 2601 TANDY AVE | ||||||||
| Address2: | |||||||||
| City: | FT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761032552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8175351253 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2006 | ||||||||
| LastUpdateDate: | 06/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 14351 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 104100000X | N | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 101223904 | 05 | TX | MEDICAID | 101223903 | 05 | TX | MEDICAID | 171801701 | 05 | TX | MEDICAID | 800013455 | 01 | TX | GMHS RR MEDICARE GRP # | OTHER | 8G2593 | 01 | TX | GMHS BLUE CROSS GRP # | OTHER |