Donna Mae Karlson, LCSW ACSW

Individual provider Active NPI Clinical Social Worker · Bar Harbor, ME

NPI 1821167347 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1821167347
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC3520 (ME)
Practice address
8 Devon Road
Bar Harbor, ME 04609
Phone
(207) 288-8335
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC3520MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC3520 ME Yes

Addresses

Primary practice location

8 Devon Road
Bar Harbor, ME 04609

Mailing address

8 Devon Road
Bar Harbor, ME 04609
Phone (207) 288-8335

Other identifiers

IdentifierTypeStateIssuer
017073OtherMEGREENSPRING
017073OtherMEANTHEM BCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821167347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEVON ROAD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "04609",
            "telephone_number": "207-288-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DEVON ROAD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "04609",
            "telephone_number": "207-288-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSON",
        "first_name": "DONNA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC3520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREENSPRING",
            "identifier": "017073",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "017073",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

All providers in Bar Harbor, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.