Karen Puopolo, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Sutton, MA
NPI 1699899591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699899591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110476 (MA)
- Practice address
- 176 Worcester Providence Tpke
Suite 203
Sutton, MA 01590-1901 - Phone
- (508) 581-8797
- Fax
- (508) 581-8796
- NPI assigned
- Mar 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110476 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110476 | MA | Yes |
Addresses
Primary practice location
176 Worcester Providence Tpke
Suite 203
Sutton, MA 01590-1901
Mailing address
157 Millbury St
Grafton, MA 01519-1017
Phone (508) 839-2249
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08720 | Other | MA | BLUE CROSS BLUE SHIELD |
| 9444147 | Other | MA | PRIVATE HEALTH CARE SYSTE |
Other providers in Sutton, MA
- Erika Osborne
- Brittany Palmer
- Robert Pano
- Rutvik Patel
- Price Chopper Operating Co of Mass Inc
- Meagan Quinn
- Anthony S Rainka
- David Reilly
- Rhode Island Children'S Dentistry
- Stephen Rowen
All providers in Sutton, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.