Individual provider Active NPI

Karen Marie Clark, MSW, LICSW

  • Clinical Social Worker
  • Sutton, MA
National Provider Identifier
1740566371
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW125964 Issued in MA
Practice address
7 Butternut Rd
Sutton, MA 01590-2929
Phone
(201) 240-5932
NPI assigned
Oct 27, 2011
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 LICSW125964 MA Primary

Addresses

Primary practice location

7 Butternut Rd
Sutton, MA 01590-2929

Mailing address

7 Butternut Rd
Sutton, MA 01590-2929
Phone (201) 240-5932

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
I20240605002311 MA Practitioner - Clinical Social Worker 0345782322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare ServicesGroup PAC ID 3779818828, 26 clinicians

Practice addresses (Care Compare)

435 Shrewsbury St
Worcester, MA 01604-1689
Phone 5087535554110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW125964MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Services CurrentSince Apr 1, 2024 Accepting new patients
Coastal Clinicians Group Clinical Past Accepting new patients

Locations

435 Shrewsbury St
Worcester, MA 01604
Phone (508) 577-2017

Organizations & group practices 2

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1740566371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BUTTERNUT RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902929",
            "telephone_number": "201-240-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BUTTERNUT RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902929",
            "telephone_number": "201-240-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW125964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, MA

Sources for this page

Verify at the official NPI Registry.