Individual provider Active NPI

Karen Blinder, LICSW

  • Clinical Social Worker
  • Watertown, MA
National Provider Identifier
1679797773
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024934 Issued in MA
Practice address
275 Main St
Apt 506
Watertown, MA 02472-4300
Phone
(617) 710-1664
NPI assigned
Apr 12, 2007
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 Worker 1041C0700X 1024934 MA Primary

Addresses

Primary practice location

275 Main St
Apt 506
Watertown, MA 02472-4300

Mailing address

275 Main St
Apt 506
Watertown, MA 02472-4300
Phone (617) 710-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050726000982 MA Practitioner - Clinical Social Worker 5193752657 Reassigns benefits to 3 organizations
Practice locations: Watertown, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Elder Services, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Arbour Elder Services, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 1, 2025 Accepting new patients
Starr Psychiatric Center Inc CurrentSince May 28, 2024 Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

384 Washington St
Norwell, MA 02061
Phone (781) 659-0001

100 Ledgewood Pl
Ste 202
Rockland, MA 02370
Phone (781) 871-6500

Organizations & group practices 4

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1679797773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "address_2": "APT 506",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724300",
            "telephone_number": "617-710-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "address_2": "APT 506",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724300",
            "telephone_number": "617-710-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINDER",
        "first_name": "KAREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.