Individual provider Active NPI

Karen Clarence, LCSW-C

  • Social Worker
  • Washington, DC
National Provider Identifier
1821638560
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1500 Franklin St NE
Washington, DC 20018-2000
Phone
(202) 341-4829
NPI assigned
Jan 10, 2020
Reactivated
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MD Primary

Addresses

Primary practice location

1500 Franklin St NE
Washington, DC 20018-2000

Mailing address

6521 Walcott LN Apt 103
Frederick, MD 21703-4816
Phone (240) 815-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220824003330 MD Practitioner - Clinical Social Worker 3678957677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Frederick, MD 21703
Phone (240) 815-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Overflow Therapy LLC CurrentSince Jun 15, 2023 Accepting new patients

Locations

4001 Buckeystown Pike
Unit 912
Buckeystown, MD 21717

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1821638560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 WALCOTT LN APT 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217034816",
            "telephone_number": "240-815-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182000",
            "telephone_number": "202-341-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARENCE",
        "first_name": "KAREN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "deactivation_date": "2023-04-05",
        "reactivation_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.