Individual provider Active NPI

Karen Bae Knight, LICSW, LADC

  • Clinical Social Worker
  • Chester, VT
National Provider Identifier
1285716134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000842 Issued in VT
Practice address
23 School Street
Chester, VT 05143-0332
Phone
(802) 875-1594
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 089-0000842 VT Primary

Addresses

Primary practice location

23 School Street
Chester, VT 05143-0332

Mailing address

PO Box 332
23 School Street
Chester, VT 05143-0332
Phone (802) 875-1594

Other identifiers 2

IdentifierTypeStateIssuer
58330OtherVTBLUE CROSS BLUE SHIELD
1008031MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20120406000262 VT Practitioner - Clinical Social Worker 1658532239 Practice locations: Grafton, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

76 Main St
Grafton, VT 05146-9816
Phone (802) 779-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0000842VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Lemei MD PC PastSince Mar 30, 2016 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285716134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "address_2": "23 SCHOOL STREET",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051430332",
            "telephone_number": "802-875-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SCHOOL STREET",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051430332",
            "telephone_number": "802-875-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "KAREN",
        "middle_name": "BAE",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58330",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008031",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VT

Sources for this page

Verify at the official NPI Registry.