Active NPI
Karen M Carlucci, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1609938646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 071698 1
- Practice address
- 19 West 34TH Street
Penthouse
New York, NY 10001 - Phone
- (646) 486-2801
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071698 1 | NY | Primary |
Addresses
Primary practice location
19 West 34TH Street
Penthouse
New York, NY 10001
Mailing address
136 Waverly Place #7E
New York, NY 10014-6821
Phone (917) 661-1833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9428343 | Other | PHCS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071698 1 | NY | MD | Social Worker |
| 071698 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609938646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 WAVERLY PLACE #7E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100146821",
"telephone_number": "917-661-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST 34TH STREET",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "646-486-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLUCCI",
"first_name": "KAREN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071698 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9428343",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.