Karen Marie Gudroe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6799 Issued in ME

Practice address

1116 West Main Street
Dover Foxcroft, ME 04426-0287

Phone

(207) 941-8727

Fax

(207) 992-2784

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karen Marie Deluca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allies, Inc.

  • Case Management Agency
  • Bangor, ME
  • NPI 1902941396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1750618781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN STREET",
            "address_2": "SUITE 301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016359",
            "telephone_number": "207-941-8727",
            "fax_number": "207-992-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 WEST MAIN STREET",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044260287",
            "telephone_number": "207-941-8727",
            "fax_number": "207-992-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDROE",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432015299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DELUCA",
            "middle_name": "MARIE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Gould-Cookson, MS, RD, LD
• Matthew Ryan Grant
• Abigail Lyn Green, APRN-CNP
• Michaella Elizabeth Greenwood, FNP
• Tiffany Grover, RT
• Brittany Hackett, PA-C
• Hailee Hartford, RN
• Sachin Hawaldar, MPT
• Healing Partners Psychiatric Services PLLC (Healing Partners Psychiatric Services)
• Hibbard Nursing Home Inc

• Clinical Social Worker in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.