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
| License | State | Type | Specialty |
|---|---|---|---|
| LC3520 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017073 | Other | ME | GREENSPRING |
| 017073 | Other | ME | ANTHEM BCBS |
NPI Registry JSON
{
"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
- Ormanda Dorothea Johnson
- Cecily P Judd
- Mark A Kandutsch
- Alexandra Nicole Kane
- Michelle Renee Kaplan
- Diane E Kay-Daigle
- Gerald R Keenan
- Trisha Ellen Kiliany
- Rosamond Kreilkamp
- Julius R Krevans Jr.
All providers in Bar Harbor, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.