Individual provider Active NPI

Karen Janis Merrigan, LCSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1063425262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 028649R Issued in NY
Practice address
34 S Broadway
Suite 204
White Plains, NY 10601-4400
Phone
(914) 764-4920
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 028649R NY Primary

Addresses

Primary practice location

34 S Broadway
Suite 204
White Plains, NY 10601-4400

Mailing address

19 Tatomuck Rd
Pound Ridge, NY 10576-1431
Phone (914) 764-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 028649RNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063425262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TATOMUCK RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761431",
            "telephone_number": "914-764-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-764-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIGAN",
        "first_name": "KAREN",
        "middle_name": "JANIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSW 028649R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.