Karen Smith LCSW LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

008381 Issued in CT

Legal business name

KAREN SMITH LCSW LLC

Practice address

580 Naugatuck Ave
Milford, CT 06461-4059

Phone

(475) 331-2100

Fax

(203) 283-7714

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Karen Madeleine Smith, LCSWNPI 1740555382

Title

Owner

Phone

(475) 331-2100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Madeleine Smith, MSW

  • Social Worker
  • Bridgeport, CT
  • NPI 1740555382
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1972013415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WESTMINSTER CT",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611619",
            "telephone_number": "475-331-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NAUGATUCK AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064614059",
            "telephone_number": "475-331-2100",
            "fax_number": "203-283-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN SMITH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-331-2100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "008381",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "008381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236148",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasser Kameli, DMD
• Marie-Grace Kanzler
• Katalin Ann Kappel
• Kara Cholewinski, ND
• Jennifer Karaja, LCSW
• Jillian Kasbarian
• Katie Rodriguez
• Gopal Katkoria, M.D.
• John C Katsetos, MD
• Carol M. Kaufman, ED.D., C.C.C.SLP

• Adult Mental Health Clinic/Center in Milford, CT
• Providers in Milford, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.