Individual provider Active NPI

Karen R. Maynard, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1740287937
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003978 Issued in NC
Practice address
760 Highland Oaks Dr Ste 200
Winston Salem, NC 27103-7114
Phone
(336) 277-4380
Fax
(336) 659-0659
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 C003978 NC Primary

Addresses

Primary practice location

760 Highland Oaks Dr Ste 200
Winston Salem, NC 27103-7114

Mailing address

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050

Other practice location 1

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050

Other identifiers 1

IdentifierTypeStateIssuer
6003042MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmaynard201366@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200519002759 NC Practitioner - Clinical Social Worker 8729419106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003978NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin McArthur, MD, PLLC CurrentSince Sep 2, 2020 Accepting new patients
Health Matters, PLLC Behavioral Health Counseling and Consultation Clinical Current Accepting new patients

Locations

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

Interoperability endpoints

  • Direct secure messaging: kmaynard201366@direct.novanthealth.org

Organizations & group practices 3

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1740287937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056712",
            "telephone_number": "336-272-1050",
            "fax_number": "336-272-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HIGHLAND OAKS DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037114",
            "telephone_number": "336-277-4380",
            "fax_number": "336-659-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056712",
            "country_code": "US",
            "telephone_number": "336-272-1050",
            "fax_number": "336-272-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "KAREN",
        "middle_name": "R.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003042",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaynard201366@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "760 Highland Oaks Dr Ste 200",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271037114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.