Individual provider Active NPI

Karen Shennette

  • Clinical Social Worker
  • Adelphi, MD
National Provider Identifier
1831527555
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19257 Issued in MD
Practice address
2517 Hughes Rd
Adelphi, MD 20783-1538
Phone
(240) 472-4689
NPI assigned
Oct 15, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 19257 MD Primary

Addresses

Primary practice location

2517 Hughes Rd
Adelphi, MD 20783-1538

Mailing address

2517 Hughes Rd
Adelphi, MD 20783-1538
Phone (240) 472-4689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20131214000265 DC Practitioner - Clinical Social Worker 3678700887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19257MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp CurrentSince Jun 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2023 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Washington Hospital Center Corp CurrentSince Jun 1, 2018 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3007 Tilden St NW
Ste 5N
Washington, DC 20008

Interoperability endpoints

  • Direct secure messaging: karen.shennette.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 5

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1831527555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HUGHES RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831538",
            "telephone_number": "240-472-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HUGHES RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831538",
            "telephone_number": "240-472-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENNETTE",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

Verify at the official NPI Registry.