Individual provider

Karen Distefano

Social Worker Medicare enrolled

Karen Distefano is a provider specialising in Social Worker in Southbridge, MA, registered under NPI 1184104176.

Getting there

The practice address on file is 328 MAIN ST, Southbridge, MA 01550. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

328 MAIN ST, Southbridge, MA 01550 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
1951778372

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Massachusetts I20221027002018 Practitioner - Clinical Social Worker
Connecticut I20240803000154 Practitioner - Clinical Social Worker

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. There are 2 separate enrolment records across 2 states (MA, CT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Social Worker covers

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. NUCC Health Care Provider Taxonomy, code 104100000X
Behavioral Health & Social Service Providers Social Worker

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1184104176 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 19, 2018
Last updatedAug 19, 2018
StatusActive
Sole proprietorNo
Practice address 328 MAIN ST
Southbridge, MA 01550
(808) 765-9101
Fax (508) 764-4389
Mailing address 9 WOODSIDE CIR
Sturbridge, MA 01566
This record was last updated on Aug 19, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1184104176 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 8 4 1 0 4 1 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 7 4 2 0 8 1 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1184104176?
NPI 1184104176 is the National Provider Identifier assigned to Karen Distefano in Southbridge, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Social Worker cover?
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and…
How do I contact Karen Distefano?
The phone number on file with NPPES is (808) 765-9101, last updated Aug 19, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Karen Distefano accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1184104176 a valid number?
Yes. 1184104176 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.