Individual provider Active NPI

Karen Ann Welling, MSW

  • Clinical Social Worker
  • Somerville, MA
National Provider Identifier
1750419800
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105809 Issued in MA
Practice address
403 Highland Ave Ste 202
Somerville, MA 02144-2530
Phone
(617) 623-3703
Fax
(617) 666-5832
NPI assigned
Mar 1, 2007
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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 105809 MA Primary

Addresses

Primary practice location

403 Highland Ave Ste 202
Somerville, MA 02144-2530

Mailing address

25 Henderson St
Somerville, MA 02145-2511
Phone (617) 623-3703

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
I20240806002050 MA Practitioner - Clinical Social Worker 0042249682 Practice locations: Somerville, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

490 Broadway
Suite 3
Somerville, MA 02145-2637
Phone (617) 623-3703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105809MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thelm, Inc. Clinical Past Accepting new patients

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, 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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1750419800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HENDERSON ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452511",
            "telephone_number": "617-623-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HIGHLAND AVE STE 202",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442530",
            "telephone_number": "617-623-3703",
            "fax_number": "617-666-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLING",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.