Karen S Tanklow, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105214 Issued in MA

Practice address

55 Fruit Street
Wac037
Boston, MA 02114-2621

Phone

(617) 643-7184

Fax

(617) 726-0822

NPI assigned

Mar 2, 2007

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.

• North Shore Clinicians Group LLC

  • Mental Health Counselor
  • Peabody, MA
  • NPI 1578847380
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1336277011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "WAC037",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-643-7184",
            "fax_number": "617-726-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "WAC037",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-643-7184",
            "fax_number": "617-726-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKLOW",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle J Tanguay, OTR
• Megane Tanguay, M.D.
• Sheila Tanguay
• Shyam Kumar Tanguturi, M.D.
• Varsha Keelara Tanguturi, M.D.
• Joan Tankou
• Theanchai - Tanlamai, O.D.
• Trupti Rajendra Tanna, PT
• Elizabeth N Tannebring, MSN, CPNP
• Sarah Tannenbaum, PSY.D.

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.