Individual provider Active NPI

Caren Kelman, LCSW

  • Clinical Social Worker
  • Lafayette Hill, PA
National Provider Identifier
1679104111
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015163 Issued in PA
Practice address
630A Germantown Pike
Lafayette Hill, PA 19444-1641
Phone
(610) 649-6344
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW015163 PA Primary

Addresses

Primary practice location

630A Germantown Pike
Lafayette Hill, PA 19444-1641

Mailing address

148 Woods LN
Radnor, PA 19087-3738
Phone (917) 612-7840

Other practice location 1

600 Haverford Rd Ste G104
Haverford, PA 19041-1139
Phone (610) 649-6344

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@mainlinetherapysolutions.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Therapy Solutions, LLC Multi-Specialty CurrentSince Aug 22, 2022 Accepting new patients

Locations

600 Haverford Rd
Ste G104
Haverford, PA 19041
Phone (610) 553-5303

630 Germantown Pike
#A
Lafayette Hl, PA 19444
Phone (610) 649-6344

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1679104111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WOODS LN",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190873738",
            "telephone_number": "917-612-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630A GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441641",
            "telephone_number": "610-649-6344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Haverford Rd Ste G104",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411139",
            "country_code": "US",
            "telephone_number": "610-649-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "CAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@mainlinetherapysolutions.com",
            "affiliation": "N",
            "endpointDescription": "Practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Haverford Rd Ste G104",
            "city": "Haverford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190411139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.