Individual provider Active NPI

Karen E Neal, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1104962976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11468 Issued in MD
Practice address
9030 State Route 108
Oakland Center
Columbia, MD 21045-1951
Phone
(410) 740-1901
Fax
(410) 740-2503
NPI assigned
Jan 29, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11468 MD Primary

Addresses

Primary practice location

9030 State Route 108
Oakland Center
Columbia, MD 21045-1951

Mailing address

9030 State Route 108
Oakland Center
Columbia, MD 21045-1951
Phone (410) 740-1901

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
I20071129000576 MD Practitioner - Clinical Social Worker 5991808388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Krieger Associates CurrentSince Jan 28, 2024 Accepting new patients
Kennedy Krieger Associates CurrentSince Jan 28, 2024 Accepting new patients

Locations

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

1741 Ashland Ave
Ste 642
Baltimore, MD 21205

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104962976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 STATE ROUTE 108",
            "address_2": "OAKLAND CENTER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451951",
            "telephone_number": "410-740-1901",
            "fax_number": "410-740-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 STATE ROUTE 108",
            "address_2": "OAKLAND CENTER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451951",
            "telephone_number": "410-740-1901",
            "fax_number": "410-740-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.