Karen Lynn Peabody, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114493 Issued in MA

Practice address

42 Center St
Bridgewater, MA 02324-1317

Phone

(774) 218-8394

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1922124197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CENTER ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241317",
            "telephone_number": "774-218-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CENTER ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241317",
            "telephone_number": "774-218-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moses Obasekola, RN
• Lucky Osawonuyi
• Tiffany Palenscar, PT
• Ann Michele Parks, MA, MSW, LICSW
• Bidhin Ramanlal Patel, DMD
• Pediatric Dental Center of Mansfield
• George Pelayo, DMD
• Wendy Beth Penniman, PTA
• Amy Grace Pereira, BA
• Kaitlyn Peretti, PSY.D.

• Clinical Social Worker in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.