Individual provider Active NPI

Wendy Karsh, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1245892447
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1619 Issued in CO
Practice address
1172 Boston St
Aurora, CO 80010-3030
Phone
(303) 325-6830
NPI assigned
Jul 8, 2019
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 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 1619 CO Primary

Addresses

Primary practice location

1172 Boston St
Aurora, CO 80010-3030

Mailing address

6863 Johnson St
Arvada, CO 80004-2948
Phone (720) 471-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20191119002496 CO Practitioner - Clinical Social Worker 5092147629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Samantha Ivy LLCGroup PAC ID 0840552386, 12 clinicians

Practice addresses (Care Compare)

6863 Johnson St
Arvada, CO 80004-2948
Phone (954) 253-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1619COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Ivy LLC Clinical CurrentSince Aug 25, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1245892447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 JOHNSON ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042948",
            "telephone_number": "720-471-6399",
            "fax_number": "720-773-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 BOSTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800103030",
            "telephone_number": "303-325-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSH",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.