NPIMap

Organization Active NPI

Mary Elizabeth Karlan

  • Clinical Social Worker
  • Old Greenwich, CT
National Provider Identifier
1063863868
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009248 Issued in CT
Legal business name
MARY ELIZABETH KARLAN
Practice address
7 Keofferam Rd
Suite B
Old Greenwich, CT 06870-2112
Phone
(858) 255-1369
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Mary Elizabeth Karlan, LCSWNPI 1871976431
Title
Principal
Phone
(203) 570-6047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 009248 CT Primary

Addresses

Primary practice location

7 Keofferam Rd
Suite B
Old Greenwich, CT 06870-2112

Mailing address

7 Keofferam Road
Suite B
Old Greenwich, CT 06870
Phone (858) 255-1369

Other names 1

  • MK Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1063863868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KEOFFERAM ROAD",
            "address_2": "SUITE B",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "858-255-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KEOFFERAM RD",
            "address_2": "SUITE B",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068702112",
            "telephone_number": "858-255-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH KARLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "KARLAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "203-570-6047",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.