Individual provider Active NPI

Karen Weiss, LSW

  • Clinical Social Worker
  • Broomall, PA
National Provider Identifier
1861042566
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020960 Issued in PA
Practice address
390 Reed Rd FL 1
Broomall, PA 19008-4008
Phone
(484) 450-6476
Fax
(484) 224-3398
NPI assigned
Sep 14, 2019
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW020960 PA
Clinical Social Worker 1041C0700X CW020960 PA Primary

Addresses

Primary practice location

390 Reed Rd FL 1
Broomall, PA 19008-4008

Mailing address

390 Reed Rd FL 1
Broomall, PA 19008-4008
Phone (484) 450-6476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191004001191 PA Practitioner - Clinical Social Worker 4284965369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectra Support Services, LLCGroup PAC ID 9133364045, 5 clinicians

Practice addresses (Care Compare)

390 Reed Rd
FL 1
Broomall, PA 19008-4008
Phone 4844506476700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020960PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Support Services, LLC Social Worker CurrentSince Sep 14, 2019 Accepting new patients

Locations

390 Reed Rd
Fl 1
Broomall, PA 19008
Phone (484) 450-6476

Organizations & group practices 1

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": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1861042566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 REED RD FL 1",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084008",
            "telephone_number": "484-450-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 REED RD FL 1",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084008",
            "telephone_number": "484-450-6476",
            "fax_number": "484-224-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KAREN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW020960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.