Individual provider Active NPI

Karen E Walling, MSW

  • Clinical Social Worker
  • Dunkirk, MD
National Provider Identifier
1548403892
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18277 Issued in MD
Practice address
3305 Smithville Dr
Dunkirk, MD 20754-9661
Phone
(443) 964-8028
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 LCSW-1442 ID
Clinical Social Worker 1041C0700X 18277 MD Primary

Addresses

Primary practice location

3305 Smithville Dr
Dunkirk, MD 20754-9661

Mailing address

3305 Smithville Dr
Dunkirk, MD 20754-9661
Phone (410) 991-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130314000034 MD Practitioner - Clinical Social Worker 8123263423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

3175 W Ward Rd
Dunkirk, MD 20754-3024
Phone (410) 286-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1442IDMDClinical Social Worker
18277MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T Gergely, MD & Associates, LLC CurrentSince Feb 1, 2013 Accepting new patients

Locations

3175 W Ward Rd
Ste 200
Dunkirk, MD 20754
Phone (410) 286-0664

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1548403892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SMITHVILLE DR",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549661",
            "telephone_number": "410-991-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SMITHVILLE DR",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549661",
            "telephone_number": "443-964-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLING",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-1442",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

Verify at the official NPI Registry.