Provider Demographics
NPI:1437232808
Name:SASSER, KAREN HODGES (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HODGES
Last Name:SASSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5519 TIMBER GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-3369
Mailing Address - Country:US
Mailing Address - Phone:817-845-8828
Mailing Address - Fax:936-273-3786
Practice Address - Street 1:2601 TANDY AVE
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-2552
Practice Address - Country:US
Practice Address - Phone:817-535-1253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143511041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101223904Medicaid
TX101223903Medicaid
TX171801701Medicaid
TX800013455OtherGMHS RR MEDICARE GRP #
TX8G2593OtherGMHS BLUE CROSS GRP #
TX8C2593Medicare ID - Type Unspecified
TX101223904Medicaid
TX101223903Medicaid