Karen McDaniel, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003699 Issued in CT

Practice address

5 Pease Farm Rd
Ellington, CT 06029-3443

Phone

(860) 798-5975

NPI assigned

Jan 6, 2008

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199577600000",
    "number": "1386829612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PEASE FARM RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293443",
            "telephone_number": "860-798-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PEASE FARM RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293443",
            "telephone_number": "860-798-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Madore, LCSW
• Kimberly Mancinelli-Hough, APRN
• Heather M Mangold, M.S., CCC-SLP
• Amanda Lee Manzi
• Kristin A. Massaro
• Aissa Maria McGuirl, DPT CSCS
• Lindsay Meyer, M.S. CCC-SLP
• Mi'Bella Wellness Clinic, PLLC
• Tami J Miller, RDH
• Stanislav Moline, DMD, MDS

• Clinical Social Worker in Ellington, CT
• Providers in Ellington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.