Karen K. McKenzie, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01057 Issued in RI

Practice address

25 Thurber Blvd. Unit #2
Smithfield, RI 02917

Phone

(401) 233-1634

Fax

(401) 233-1674

NPI assigned

Apr 29, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Karen M. Killen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Arc of Bristol County Dba Proability

  • In Home Supportive Care Agency
  • Smithfield, RI
  • NPI 1154787869
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1124473897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 THURBER BLVD. UNIT #2",
            "address_2": "PRO-ABILITY",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02917",
            "telephone_number": "401-233-1634",
            "fax_number": "401-233-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 THURBER BLVD. UNIT #2",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02917",
            "telephone_number": "401-233-1634",
            "fax_number": "401-233-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KAREN",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KILLEN",
            "middle_name": "M.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Anne Mauceri, NP
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• Shannon Margaret McCabe, CCC-SLP
• Stephanie McGehearty, LICSW
• Jessica Lyn McGuire, LICSW
• Ryan McKeon, DPT
• Katie Lynn McShane, PT, DPT
• Vibhuti Mishra
• Modern Dental Inc
• Amanda Montella, NP

• Clinical Social Worker in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.