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KAREN R. DISTEFANO
NPI 1184104176
Social Worker in Southbridge, MA

Active since August 19, 2018PECOS Enrolled
328 MAIN ST, SOUTHBRIDGE, MA 01550(808) 765-9101(508) 764-4389 Get Directions Write a Review

NPPES record last updated: August 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen R. Distefano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN R. DISTEFANO (NPI 1184104176) is an individual social worker in Southbridge, Massachusetts and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184104176
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAREN R. DISTEFANO
Location Address328 MAIN STSouthbridge, MA 01550-3794
Mailing Address9 Woodside CirSturbridge, MA 01566-1347
Phone(808) 765-9101
Fax(508) 764-4389
Sole ProprietorNo
Enumeration DateAugust 19, 2018
✔ NPI 1184104176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
328 MAIN ST, Southbridge, MA 01550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen R. Distefano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Distefano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass Behavioral Health Center Inc
17 mi
Mental Health (Including Community Mental Health Center)
9 HAMMOND ST
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group
NPI 1396328159 (508) 219-7189
Grow Healthcare Group PA
1,216 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON MARTIN
Counselor
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (774) 276-5247
JOCHEBED BROCHU
Counselor (Mental Health)
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101
HILLARY ANN ARVANITIS LMFT
Marriage & Family Therapist
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9190
MEGAN MALSBURY
Social Worker
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101
YOU INC.
Counselor (Addiction (Substance Use Disorder))
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101
MRS. JOCELYN MARIE COLEMAN
Counselor
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101
JULIE HURLEY M.A.
Counselor (Mental Health)
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101
KATHRYN PAYNE MA
Counselor (Mental Health)
328 MAIN ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Distefano's NPI number?

The NPI number for Karen Distefano is 1184104176. It was assigned to this individual provider in the NPPES registry on August 19, 2018.

Where is Karen Distefano located?

Karen Distefano practices at 328 Main St, Southbridge, MA 01550. The listed phone number is (808) 765-9101.

What is Karen Distefano's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Karen Distefano enrolled in Medicare?

Yes. Karen Distefano is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Distefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Distefano reassigns Medicare benefits to 2 organizations: Mass Behavioral Health Center Inc (Worcester, MA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Distefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Distefano accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Karen Distefano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Distefano was last updated on August 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.