Individual provider Active NPI

Karen E Greenberg, PHD

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1568793933
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002901 Issued in VA
Practice address
9300 Forest Point Cir
Suite 174
Manassas, VA 20110-4765
Phone
(703) 392-1030
Fax
(703) 257-5088
NPI assigned
Jan 24, 2010
Last updated
Jan 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 0904002901 VA
Clinical Social Worker 1041C0700X 0904002901 VA Primary
Psychoanalyst 102L00000X 0904002901 VA

Addresses

Primary practice location

9300 Forest Point Cir
Suite 174
Manassas, VA 20110-4765

Mailing address

9300 Forest Point Cir
Suite 174
Manassas, VA 20110-4765
Phone (703) 392-1030

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904002901VAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264291200000",
    "number": "1568793933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "address_2": "SUITE 174",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "703-392-1030",
            "fax_number": "703-257-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "address_2": "SUITE 174",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "703-392-1030",
            "fax_number": "703-257-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0904002901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002901",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "VA",
            "license": "0904002901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.