Active NPI
Karen D Guillory, LISCW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1073724837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50077810
- Practice address
- 801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152 - Phone
- (202) 546-1512
- Fax
- (202) 608-4286
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50077810 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 12404 | MD |
Addresses
Primary practice location
801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152
Mailing address
801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152
Phone (202) 546-1512
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289111 | Other | DC | AMERIGROUP MEDICAID |
| 23722 | Other | DC | CHARTERED MEDICIAD |
| 5326 | Other | DC | HEALTHRIGHT MEDICAID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12404 | MD | MD | Clinical Social Worker |
Interoperability endpoints
- karen.guillory@uhci.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073724837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PENNSYLVANIA AVE SE STE 201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032152",
"telephone_number": "202-546-1512",
"fax_number": "202-608-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PENNSYLVANIA AVE SE STE 201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032152",
"telephone_number": "202-546-1512",
"fax_number": "202-608-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "KAREN",
"middle_name": "D",
"credential": "LISCW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50077810",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12404",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP MEDICAID",
"identifier": "289111",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARTERED MEDICIAD",
"identifier": "23722",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHRIGHT MEDICAID",
"identifier": "5326",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
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.