Individual provider Active NPI

Karen Gager, MSW, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1467817601
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01128 Issued in RI
Practice address
959 N Main St
Providence, RI 02904-5715
Phone
(401) 331-1244
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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 ISW01128 RI Primary

Addresses

Primary practice location

959 N Main St
Providence, RI 02904-5715

Mailing address

181 Ives Rd
East Greenwich, RI 02818-4823
Phone (401) 886-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20160504001578 RI Practitioner - Clinical Social Worker 6103125646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Collaborative ServicesGroup PAC ID 3274863683, 4 clinicians

Practice addresses (Care Compare)

1165 N Main St
Providence, RI 02904-5740
Phone (401) 331-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01128RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Collaborative Services CurrentSince Jul 19, 2019 Accepting new patients

Locations

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

Organizations & group practices 1

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1467817601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 IVES RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028184823",
            "telephone_number": "401-886-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045715",
            "telephone_number": "401-331-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGER",
        "first_name": "KAREN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.