Individual provider Active NPI

Karen Sue Silver, MSW ,LCSW

  • Clinical Social Worker
  • Colchester, CT
National Provider Identifier
1215016670
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002798 Issued in CT
Practice address
244 S. Main St.
Colchester, CT 06415
Phone
(860) 214-3928
Fax
(860) 537-5426
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 002798 CT Primary

Addresses

Primary practice location

244 S. Main St.
Colchester, CT 06415

Mailing address

244 S. Main St.
Colchester, CT 06415
Phone (860) 214-3928

Other identifiers 1

IdentifierTypeStateIssuer
004263761MedicaidCT

Other names 1

  • Karen Sue Silver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20111005000143 CT Practitioner - Clinical Social Worker 0345412821 Practice locations: Colchester, CT; Old Lyme, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002798CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1215016670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S. MAIN ST.",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "06415",
            "telephone_number": "860-214-3928",
            "fax_number": "860-537-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S. MAIN ST.",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "06415",
            "telephone_number": "860-214-3928",
            "fax_number": "860-537-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSW ,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004263761",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SILVER",
            "middle_name": "SUE",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.