Active NPI
Karen W. Nolen, LICSW
- Clinical Social Worker
- South Deerfield, MA
National Provider Identifier
1902046030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114633
- Practice address
- 110 N Hillside Rd Ste 3
South Deerfield, MA 01373-9727 - Phone
- (413) 658-7514
- Fax
- (413) 397-3366
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 114633 | MA | Primary |
Addresses
Primary practice location
110 N Hillside Rd Ste 3
South Deerfield, MA 01373-9727
Mailing address
PO Box 625
Northampton, MA 01061-0625
Phone (413) 658-7514
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090429000034 | MA | Practitioner - Clinical Social Worker | 7214085372 | Practice locations: South Deerfield, MA; Hadley, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Michigan Homeopathic Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 N Hillside Rd
Suite 3
South Deerfield, MA 01373-9727
Phone (413) 658-7514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114633 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1902046030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 625",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010610625",
"telephone_number": "413-658-7514",
"fax_number": "413-397-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N HILLSIDE RD STE 3",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013739727",
"telephone_number": "413-658-7514",
"fax_number": "413-397-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "KAREN",
"middle_name": "W.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.