Individual provider Active NPI

Karen D Guillory, LISCW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1073724837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50077810 Issued in DC
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

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
289111OtherDCAMERIGROUP MEDICAID
23722OtherDCCHARTERED MEDICIAD
5326OtherDCHEALTHRIGHT 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

LicenseStateTypeSpecialty
12404MDMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.