Individual provider Active NPI

Karen Lee Simon, LCSW

  • Clinical Social Worker
  • Haddon Heights, NJ
National Provider Identifier
1427100585
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05914100. Issued in NJ
Practice address
207 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone
(856) 617-4544
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0000004058 TN
Clinical Social Worker 1041C0700X 44SC05914100. NJ Primary

Addresses

Primary practice location

207 White Horse Pike
Haddon Heights, NJ 08035-1703

Mailing address

207 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone (856) 617-4544

Other practice location 1

1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101
Phone (615) 227-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05914100.NJMDClinical Social Worker
0000004058TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Services, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients
Meridian Counseling Services Clinical CurrentSince Mar 7, 2021 Accepting new patients

Locations

1930 Route 70 E
Ste V105
Cherry Hill, NJ 08003
Phone (856) 757-0505

207 White Horse Pike
Haddon Heights, NJ 08035
Phone (856) 617-4544

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1427100585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-617-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-617-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Marlton Pike E Ste V105",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080034101",
            "country_code": "US",
            "telephone_number": "615-227-6227",
            "fax_number": "615-227-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-03-03",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000004058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05914100.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.