Individual provider Active NPI

Karen Clark Greenwood, MSW, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1114408341
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1032022 Issued in MA
Practice address
109 Oak St Ste 201
Newton, MA 02464-1493
Phone
(617) 977-5372
Fax
(617) 458-8644
NPI assigned
Aug 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 LICSW1032022 MA Primary

Addresses

Primary practice location

109 Oak St Ste 201
Newton, MA 02464-1493

Mailing address

4 Ralph Rd
Hopkinton, MA 01748-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240722000929 MA Practitioner - Clinical Social Worker 2264978717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Boston Mental Health, PLLCGroup PAC ID 2860847464, 17 clinicians

Practice addresses (Care Compare)

109 Oak St
Suite 201
Newton, MA 02464-1493
Phone (617) 977-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1032022MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Boston Mental Health, PLLC CurrentSince Jun 11, 2024 Accepting new patients

Locations

450 Bedford St
Ste 2400
Lexington, MA 02420
Phone (781) 633-7779

109 Oak St
Ste 201
Newton Upper Falls, MA 02464
Phone (617) 302-9171

Organizations & group practices 1

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": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1114408341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RALPH RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-977-5372",
            "fax_number": "617-458-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "KAREN",
        "middle_name": "CLARK",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1032022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.