Individual provider Active NPI

Karen Mandwelle Caplan, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1104952068
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13245 Issued in MD
Practice address
2411 W Belvedere Ave Ste 508
Baltimore, MD 21215-5232
Phone
(443) 847-1866
Fax
(410) 601-9899
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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 13245 MD Primary
Mental Health Counselor 101YM0800X 13245 MD

Addresses

Primary practice location

2411 W Belvedere Ave Ste 508
Baltimore, MD 21215-5232

Mailing address

2411 W Belvedere Ave Ste 508
Baltimore, MD 21215-5232
Phone (443) 847-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000271 MD Practitioner - Clinical Social Worker 0446355051 Practice locations: Lutherville, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2324 W Joppa Rd
Suite 420
Lutherville, MD 21093-4620
Phone (443) 847-1866

2411 W Belvedere Ave
Suite 508
Baltimore, MD 21215-5232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13245MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Life Services Corporation Past Accepting new patients
Bay Life Services Corporation Mental Health PastSince Feb 29, 2008 Accepting new patients
Medstar Franklin Square Physicians LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1104952068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 508",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155232",
            "telephone_number": "443-847-1866",
            "fax_number": "410-601-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 508",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155232",
            "telephone_number": "443-847-1866",
            "fax_number": "410-601-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLAN",
        "first_name": "KAREN",
        "middle_name": "MANDWELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13245",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "13245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.