Active NPI
Karen Buetens, LICSW
- Clinical Social Worker
- Medford, MA
National Provider Identifier
1235229436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1021117
- Practice address
- 10 High St
Suite 10
Medford, MA 02155-3848 - Phone
- (781) 395-1560
- Fax
- (781) 391-5564
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1828 | MA | |
| Clinical Social Worker | 1041C0700X | 1021117 | MA | Primary |
Addresses
Primary practice location
10 High St
Suite 10
Medford, MA 02155-3848
Mailing address
PO Box 311
Medford, MA 02155-0004
Phone (781) 395-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1853066 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021117 | MA | MD | Clinical Social Worker |
| 1828 | MA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1235229436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 311",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021550004",
"telephone_number": "781-395-1560",
"fax_number": "781-391-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HIGH ST",
"address_2": "SUITE 10",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553848",
"telephone_number": "781-395-1560",
"fax_number": "781-391-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUETENS",
"first_name": "KAREN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1828",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1021117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1853066",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.