Individual provider Active NPI

Karen J. Seniuk, LICSW

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1366624405
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112005 Issued in MA
Practice address
555 Amory St
Thom Boston Metro Early Intervention
Jamaica Plain, MA 02130-2652
Phone
(617) 383-6522
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 112005 MA Primary

Addresses

Primary practice location

555 Amory St
Thom Boston Metro Early Intervention
Jamaica Plain, MA 02130-2652

Mailing address

555 Amory St
Thom Boston Metro Early Intervention
Jamaica Plain, MA 02130-2652
Phone (617) 383-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250409002924 MA Practitioner - Clinical Social Worker 1759805971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112005MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Counseling LLC CurrentSince Apr 3, 2025 Accepting new patients
Post Road Pediatrics,LLP Past Accepting new patients

Locations

800 Hingham St
Ste 109S
Rockland, MA 02370
Phone (339) 502-0705

Interoperability endpoints

  • Direct secure messaging: kseniuk40928@direct.chppoc.masshiway.net

Organizations & group practices 2

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1366624405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AMORY ST",
            "address_2": "THOM BOSTON METRO EARLY INTERVENTION",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302652",
            "telephone_number": "617-383-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 AMORY ST",
            "address_2": "THOM BOSTON METRO EARLY INTERVENTION",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302652",
            "telephone_number": "617-383-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIUK",
        "first_name": "KAREN",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.