Active NPIIndividual provider

Ms. Karen E Chalom, LICSW

Social Worker, Clinical in South Pomfret, Vermont

NPI Number1164589735
Practice location
4056 Pomfret Road, South Pomfret, VT 05067-0109
Fax
802-457-6191
Last updated
September 5, 2013

Karen Edana Chalom is a Social Worker, Clinical based in South Pomfret, VT. Karen Edana Chalom practices in South Pomfret, VT and has the professional credentials of LICSW. The NPI Number for Karen Edana Chalom is 1164589735 and holds a License No. 0890000996 (VT). The current practice location address for Karen Edana Chalom is 4056 Pomfret Road, South Pomfret, VT 05067-0109 and can be reached out via phone at 802-457-6191 and via fax at 802-457-6191.

Provider Profile Details

NPI Number
1164589735
Provider Name
Karen Edana Chalom
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4056 Pomfret Road, South Pomfret, VT 05067-0109
Phone Number
802-457-6191
Fax Number
802-457-6191
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
September 5, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
4056 Pomfret Road
South Pomfret, VT 05067-0109
State
Vermont
Zip
05067-0109
Phone Number
802-457-6191
Fax Number
802-457-6191
South Pomfret, VT 05067Get directions →

Provider Business Mailing Address Details

Address
Po Box 109
4056 Pomfret Road
South Pomfret, VT 05067-0109
City
South Pomfret
State
VT
Zip
05067-0109
Phone Number
802-457-6191
Fax Number
802-457-6191

License Information

License Number (1)
0890000996
License State (1)
VT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
12794
License State (2)
MN
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Karen E Chalom, LICSW?

The NPI number of Ms. Karen E Chalom, LICSW is 1164589735. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Karen E Chalom, LICSW?

Ms. Karen E Chalom, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890000996.

Where does Ms. Karen E Chalom, LICSW practice?

The practice location is 4056 Pomfret Road, South Pomfret, VT 05067-0109. The office can be reached at 802-457-6191 (phone) or 802-457-6191 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164589735 directly on the NPPES registry website.

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