KAREN BLINDER (LICSW) – Clinical Social Worker, NPI 1679797773

KAREN BLINDER (LICSW) is a healthcare provider. based in Watertown, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1024934 (MA). The NPI Number for KAREN BLINDER (LICSW) is 1679797773

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
KAREN BLINDER (LICSW)
NPI
1679797773
Phone
(617) 710-1664
Address
275 MAIN ST
Enumeration Date
12 April 2007
Last Update Date
18 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
5193752657
Group Practice PAC ID
4385742626
Professional Enrollment ID
I20050726000982
Address ID
MA023012825BRSTARRINCX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for KAREN BLINDER (LICSW)

  • 275 MAIN ST

    APT 506

    WATERTOWN, MA 024724300

    Phone: (617) 710-1664

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050726000982IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02472)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385742626View full group profile
NameSpecialtyState
-MA
-MA
Clinical PsychologistMA
Nurse PractitionerMA
P S Y C H I A T R YMA
Mental Health CounselorMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do I look up KAREN BLINDER (LICSW) by NPI?
Use NPI 1679797773 when you need to reference KAREN BLINDER (LICSW) in forms, claims, or directories.
Is KAREN BLINDER (LICSW) currently active in the NPI registry?
CMS-published data lists KAREN BLINDER (LICSW) as an active registrant.
Can you summarize KAREN BLINDER (LICSW)'s specialty in plain language?
Clinically, the directory lists KAREN BLINDER (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place KAREN BLINDER (LICSW)?
The snapshot lists Watertown, Massachusetts for KAREN BLINDER (LICSW); download NPPES for the complete set.
Is KAREN BLINDER (LICSW) a real provider?
This page reflects official NPPES data for NPI 1679797773. Always confirm identity and privileges with the practice and licensing boards.

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