Individual provider Active NPI

Karen Vautour, LICSW

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1881748069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105880 Issued in MA
Practice address
162 Federal St
Salem, MA 01970-3248
Phone
(978) 745-2440
Fax
(978) 745-7615
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 105880 MA Primary

Addresses

Primary practice location

162 Federal St
Salem, MA 01970-3248

Mailing address

162 Federal St
Salem, MA 01970-3248
Phone (978) 745-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050201000286 MA Practitioner - Clinical Social Worker 7911957501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Counseling Center IncGroup PAC ID 8628138153, 12 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 307E
Beverly, MA 01915-6107
Phone (978) 922-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Counseling Center Inc Clinical CurrentSince Sep 21, 2015 Accepting new patients
North Shore Counseling Center Inc PastSince Sep 21, 2025 Accepting new patients
Northeast Hospital Corporation PastSince Jul 1, 1990 Accepting new patients

Locations

100 Cummings Ctr
Ste 307E
Beverly, MA 01915
Phone (978) 922-2280

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881748069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 FEDERAL ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703248",
            "telephone_number": "978-745-2440",
            "fax_number": "978-745-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 FEDERAL ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703248",
            "telephone_number": "978-745-2440",
            "fax_number": "978-745-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUTOUR",
        "first_name": "KAREN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.