Karen Clark, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

041302 Issued in NY

Practice address

2215 43Rd Ave
Long Island City, NY 11101-5018

Phone

(718) 389-5100

Fax

(718) 752-4809

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Steinway Child and Family Services, Inc

  • Clinical Social Worker
  • Howard Beach, NY
  • NPI 1346286382
  NPD (past)
• Steinway Child and Family Services, Inc.

  • Clinical Social Worker
  • Long Island City, NY
  • NPI 1801844584
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1306080817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 43RD AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015018",
            "telephone_number": "718-389-5100",
            "fax_number": "718-752-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 43RD AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015018",
            "telephone_number": "718-389-5100",
            "fax_number": "718-752-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAREN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "041302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Kids Psychological Services, PLLC
• City Medical of Upper East Side, PLLC (CityMD)
• City of Ny Office of Payroll Adm C/O Office of Payroll Admin (nyc dept. of health and mental hygiene)
• City of Ny Office of Payroll Adm C/O Office of Payroll Admin (nyc dept. of health and mental hygiene)
• Shahidah Z Clanton, RN
• Jennifer Clarke-Reid, RN
• Camille Danica Claudio, RN
• Maria Claudio, LMSW
• Kristine Claveria, COTA
• John Cleaver, C.A.S.A.C.

• Clinical Social Worker in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.