Active NPI
Karen Anna Pelchat, LCSW
- Clinical Social Worker
- Charlestown, RI
National Provider Identifier
1881744803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW00804
- Practice address
- 4705A Old Post Rd
Charlestown, RI 02813-1819 - Phone
- (401) 364-7705
- Fax
- (401) 364-9104
- NPI assigned
- Jan 11, 2007
- 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 | CSW00804 | RI | Primary |
Addresses
Primary practice location
4705A Old Post Rd
Charlestown, RI 02813-1819
Mailing address
4705A Old Post Rd
Charlestown, RI 02813-1819
Phone (401) 364-7705
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KR55307 | Medicaid | RI | |
| 1020890 | Other | RI | BEACON |
| 29234 | Other | RI | BLUE CROSS |
| 050306183 | Other | RI | MAGELLAN |
| 412333 | Other | RI | BLUE CHIP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW00804 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients | |
| South Shore Center Inc | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1881744803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705A OLD POST RD",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028131819",
"telephone_number": "401-364-7705",
"fax_number": "401-364-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705A OLD POST RD",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028131819",
"telephone_number": "401-364-7705",
"fax_number": "401-364-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELCHAT",
"first_name": "KAREN",
"middle_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW00804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KR55307",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "1020890",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "29234",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "050306183",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "412333",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.