Karen S Chadbourne, SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LS7415 Issued in ME

Practice address

26 Portland Street
Portland, ME 04101

Phone

(207) 761-8402

Fax

(207) 761-8405

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Schwarz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1992905087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8600",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04104",
            "telephone_number": "207-774-6323",
            "fax_number": "207-761-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PORTLAND STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-761-8402",
            "fax_number": "207-761-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADBOURNE",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LS7415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCHWARZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Matthew Cerel, DO
• Charity Cerminara
• Alison N Chabot, PAC
• Paul B. Chace, R.PH.
• Anita Chadbourne, FNP-C
• Kyle Chadeayne
• Grace Chadwick
• Katelyn Chadwick, DO
• Theodore Emerson Chaffee, LMFT
• Jacqueline Chait, M. ED.

• All providers in Portland, ME
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.