Individual provider Active NPI

Karen Angela Sotiropoulos, LICSW

  • Clinical Social Worker
  • Shirley, MA
National Provider Identifier
1972087559
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107051 Issued in MA
Practice address
1 Harvard Rd
Shirley, MA 01464-2434
Phone
(978) 425-4341
NPI assigned
Sep 20, 2018
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 107051 MA Primary

Addresses

Primary practice location

1 Harvard Rd
Shirley, MA 01464-2434

Mailing address

96 Old Mill Rd
Harvard, MA 01451-1123
Phone (508) 468-0339

Other practice location 1

96 Old Mill Rd
Harvard, MA 01451-1123
Phone (508) 468-0339

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

LicenseStateTypeSpecialty
107051MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1972087559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 OLD MILL RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511123",
            "telephone_number": "508-468-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARVARD RD",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642434",
            "telephone_number": "978-425-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Old Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "MA",
            "postal_code": "014511123",
            "country_code": "US",
            "telephone_number": "508-468-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTIROPOULOS",
        "first_name": "KAREN",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.