Karen Welthy, LCSW - Medicare Clinical Social Worker in Troy, NY

Karen Welthy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Troy, New York. Her current practice location is 2215 Burdett Ave, Behavioral Health Dept, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 271-3300.

Karen Welthy is licensed to practice in New York (license number 074677) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972610723.

Contact Information

Karen Welthy, LCSW
2215 Burdett Ave, Behavioral Health Dept,
Troy, NY 12180-2466
(518) 271-3300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKaren Welthy
GenderFemale
SpecialitySocial Worker - Clinical
Location2215 Burdett Ave, Troy, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972610723
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 05/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577562800
  • Enrollment ID: I20120820000870

Medical Identifiers

Medical identifiers for Karen Welthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972610723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904007481 (Virginia)Secondary
1041C0700XSocial Worker - Clinical 074677 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karen Welthy allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameHenrico Area Mental Heatlh And Developmental Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023119773
PECOS PAC ID: 8022004811
Enrollment ID: O20040426000770

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. Karen Welthy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karen Welthy, LCSW
9987 Canvassback Pass Ct,
Mechanicsville, VA 23116-6698

Ph: () -
Karen Welthy, LCSW
2215 Burdett Ave, Behavioral Health Dept,
Troy, NY 12180-2466

Ph: (518) 271-3300

Reviews and Comments


Social Worker in Troy, NY

Jill Wolski, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 120 Defreest Dr, Suite 170, Troy, NY 12180
Phone: 518-879-5856    
Catherine Crothers Cope Stieglitz, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 518-833-6470    Fax: 518-271-3682
David Lewis Tymchyn, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1801 6th Ave, Troy, NY 12180
Phone: 518-274-5143    Fax: 518-273-1350
Doris Green,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1801 6th Ave, Troy, NY 12180
Phone: 518-274-5143    Fax: 518-273-1350
Ms. Abigail Trow, LCSW
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Medicare: Medicare Enrolled
Practice Location: 1700 6th Ave, Troy, NY 12180
Phone: 518-463-8869    
Mrs. Erin Elizabeth Vanderwerken, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2 Donna Way Apt 116, Troy, NY 12180
Phone: 917-882-0684    
John Dario Middleton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2215 Burdett Ave, Behavioral Health Dept, Troy, NY 12180
Phone: 518-271-3300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.