Ms Karen Edana Chalom, LICSW is a
Social Worker - Clinical based in South Pomfret, Vermont. Ms Karen Edana Chalom is licensed to practice in Vermont (license number 0890000996) and her current practice location is
4056 Pomfret Road, South Pomfret, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 457-6191.
NPI number for Ms Karen Edana Chalom is 1164589735 and her current mailing address is Po Box 109, 4056 Pomfret Road, South Pomfret, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164589735.
Healthcare Provider's Profile
| Full Name | Ms Karen Edana Chalom |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4056 Pomfret Road, South Pomfret, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164589735
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 09/05/2013
Medical Identifiers
Medical identifiers for Ms Karen Edana Chalom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164589735 | NPI | - | NPPES |
| 1011535 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 0890000996 (Vermont) | Primary |
| 1041C0700X | Social Worker - Clinical | 12794 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Karen Edana Chalom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Karen Edana Chalom, LICSW
Po Box 109, 4056 Pomfret Road,
South Pomfret, VT 05067-0109
Ph: (802) 457-6191 | Ms Karen Edana Chalom, LICSW
4056 Pomfret Road,
South Pomfret, VT 05067-0109
Ph: (802) 457-6191 |
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