Karen Ann Clow-Milroy

Individual provider Active NPI Mental Health Counselor · Mashpee, MA

NPI 1720159932 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720159932
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4793 (MA)
Practice address
400 Nathan Ellis Hwy
#1
Mashpee, MA 02649-3143
Phone
(508) 477-5488
Fax
(508) 477-9334
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4793MAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Mashpee Mental Health Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4793 MA Yes

Addresses

Primary practice location

400 Nathan Ellis Hwy
#1
Mashpee, MA 02649-3143

Mailing address

40 Bog River BND
Mashpee, MA 02649-3328
Phone (508) 539-0603

Other identifiers

IdentifierTypeStateIssuer
LM1275OtherMABCBS MA

Other providers in Mashpee, MA

All providers in Mashpee, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.