Active NPI
Karen A Jennings, MSW, LCSW
- Clinical Social Worker
- Berwick, ME
National Provider Identifier
1861700726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC5641
- Practice address
- 20 Blackberry Hill Rd
Berwick, ME 03901-2707 - Phone
- (207) 698-4465
- NPI assigned
- Sep 14, 2010
- Last updated
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5641 | ME | Primary |
Addresses
Primary practice location
20 Blackberry Hill Rd
Berwick, ME 03901-2707
Mailing address
60 School St
Msad
No. Berwick, ME 03901
Phone (207) 676-2234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5641 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1861700726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SCHOOL ST",
"address_2": "MSAD",
"city": "NO. BERWICK",
"state": "ME",
"postal_code": "03901",
"telephone_number": "207-676-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BLACKBERRY HILL RD",
"city": "BERWICK",
"state": "ME",
"postal_code": "039012707",
"telephone_number": "207-698-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KAREN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC5641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.