Karen D Custer, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04891 Issued in MD

Practice address

208 W Patrick St
Frederick, MD 21701-5516

Phone

(301) 663-9535

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Monika Rukus, Inc.

  • Mental Health Counselor
  • Chevy Chase, MD
  • NPI 1003981614
  NPD (past)
• Monika Rukus, Inc.

  • Clinical Social Worker
  • Chevy Chase, MD
  • NPI 1972795144
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386761211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 PALMER RD",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698806",
            "telephone_number": "301-663-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015516",
            "telephone_number": "301-663-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Cunningham, FNP-BC
• Carly Cupernall, PT
• Hans H Curnutte, LCSW-C
• Jenifer Woo Cushing, AU.D.
• Rahna Cusick
• Kristen Ashley Custer
• Katrina Cutshall, LMSW
• CVS Pharmacy
• Cynthia J Moorman MD,PA
• Cynthia J. Moorman, M.D., P.a.

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.